Individual provider Active NPI

Nancy Lormand Summers, PHYSICAL THERAPIST

  • Physical Therapist
  • Stonewall, LA
National Provider Identifier
1861152209
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08240 Issued in LA
Practice address
318 Plantation Hills Blvd
Stonewall, LA 71078-9434
Phone
(318) 775-9870
Fax
(318) 775-9884
NPI assigned
Dec 27, 2021
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 08240 LA Primary

Addresses

Primary practice location

318 Plantation Hills Blvd
Stonewall, LA 71078-9434

Mailing address

318 Plantation Hills Blvd
Stonewall, LA 71078-9434
Phone (318) 775-9870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209000194 LA Practitioner - Physical Therapist in Private Practice 8022401371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desoto Physical Therapy, LLCGroup PAC ID 6204139926, 5 clinicians

Practice addresses (Care Compare)

318 Plantation Hills Blvd
Stonewall, LA 71078-2838
Phone (318) 775-9870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08240LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Physical Therapy, L.L.C. Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

2070 Highway 171
Ste C
Stonewall, LA 71078
Phone (318) 775-9870

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.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1861152209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 PLANTATION HILLS BLVD",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710789434",
            "telephone_number": "318-775-9870",
            "fax_number": "318-775-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 PLANTATION HILLS BLVD",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710789434",
            "telephone_number": "318-775-9870",
            "fax_number": "318-775-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "NANCY",
        "middle_name": "LORMAND",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonewall, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.