Organization Active NPI

United Therapists of Louisiana L.L.C

  • Physical Medicine & Rehabilitation Physician
  • Simmesport, LA
National Provider Identifier
1851496129
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
04007R Issued in LA
Legal business name
UNITED THERAPISTS OF LOUISIANA L.L.C
Practice address
344 Mission Drive
Simmesport, LA 71369
Phone
(318) 941-5006
Fax
(318) 941-5007
NPI assigned
Sep 13, 2006
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Mr. Raymond M Njalle, PTNPI 1740494632
Title
Director
Phone
(318) 941-5006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 04007R LA Primary

Addresses

Primary practice location

344 Mission Drive
Simmesport, LA 71369

Mailing address

1900 False River Drive
Ste #1
New Roads, LA 70760
Phone (318) 941-5006

Other identifiers 1

IdentifierTypeStateIssuer
1123846MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000431 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6901075381 Receives reassigned benefits from 1 practitioner
Practice locations: Simmesport, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1851496129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 FALSE RIVER DRIVE",
            "address_2": "STE #1",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "70760",
            "telephone_number": "318-941-5006",
            "fax_number": "318-941-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 MISSION DRIVE",
            "city": "SIMMESPORT",
            "state": "LA",
            "postal_code": "71369",
            "telephone_number": "318-941-5006",
            "fax_number": "318-941-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED THERAPISTS OF LOUISIANA L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "NJALLE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-941-5006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "04007R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123846",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simmesport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.