Individual provider Active NPI

Johanna Lough, PT

  • Physical Therapist
  • Shreveport, LA
National Provider Identifier
1841774064
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2086F Issued in LA
Practice address
7591 Fern Ave Ste 1203
Shreveport, LA 71105-5763
Phone
(866) 649-2399
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2086F LA Primary

Addresses

Primary practice location

7591 Fern Ave Ste 1203
Shreveport, LA 71105-5763

Mailing address

7591 Fern Ave Ste 1203
Shreveport, LA 71105-5763
Phone (318) 828-2972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181203000955 LA Practitioner - Physical Therapist in Private Practice 3274877279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7591 Fern Ave
Suite 1203
Shreveport, LA 71105-5763
Phone (318) 828-2972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2086FLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On Point Physical Therapy and Wellness LLC Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Arch Physical Therapy & Wellness LLC Physical Therapist PastSince Nov 19, 2023 Accepting new patients

Locations

7591 Fern Ave
Ste 1203
Shreveport, LA 71105
Phone (318) 828-2972

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1841774064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 FERN AVE STE 1203",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055763",
            "telephone_number": "318-828-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 FERN AVE STE 1203",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055763",
            "telephone_number": "866-649-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGH",
        "first_name": "JOHANNA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "2086F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.