Active NPI
United Therapists of Louisiana L.L.C
- Physical Medicine & Rehabilitation Physician
- Simmesport, LA
National Provider Identifier
1851496129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 04007R
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond M Njalle, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1123846 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Simmesport, LA
- NPI 1740494632
-
- Physical Therapist
- Baton Rouge, LA
- NPI 1730230426
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.