Active NPI
Robyn Leighann Connella, P.T.
- Physical Therapist
- Leesville, LA
National Provider Identifier
1841525201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04502
- Practice address
- 112 N 3Rd St
Leesville, LA 71446-4014 - Phone
- (337) 239-3334
- NPI assigned
- Oct 2, 2009
- Last updated
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 04502 | LA | Primary |
Addresses
Primary practice location
112 N 3Rd St
Leesville, LA 71446-4014
Mailing address
378 Walnut Hill Rd
Leesville, LA 71446-7643
Phone (318) 446-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04502 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wardell Interests, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1841525201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 WALNUT HILL RD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714467643",
"telephone_number": "318-446-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N 3RD ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464014",
"telephone_number": "337-239-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLA",
"first_name": "ROBYN",
"middle_name": "LEIGHANN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "04502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.