Active NPI
Nela Sportcenter, L.L.C.
- Rehabilitation Clinic/Center
- West Monroe, LA
National Provider Identifier
1861682148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- NELA SPORTCENTER, L.L.C.
- Practice address
- 307 Register St
West Monroe, LA 71291-2737 - Phone
- (318) 329-8998
- Fax
- (318) 329-8997
- NPI assigned
- Aug 1, 2007
- 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. Jacob Randall Ponder, LOTR
- Title
- Owner/Manager
- Phone
- (318) 329-8998
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 |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
307 Register St
West Monroe, LA 71291-2737
Mailing address
307 Register St
West Monroe, LA 71291-2737
Phone (318) 329-8998
National Provider Directory
National Provider DirectoryLocations
307 Register St
West Monroe, LA 71291
Phone (318) 329-8898
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- West Monroe, LA
- NPI 1912917741
-
- Physical Therapist
- Baton Rouge, LA
- NPI 1891705620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185926400000",
"number": "1861682148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 REGISTER ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712912737",
"telephone_number": "318-329-8998",
"fax_number": "318-329-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 REGISTER ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712912737",
"telephone_number": "318-329-8998",
"fax_number": "318-329-8997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NELA SPORTCENTER, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A",
"authorized_official_last_name": "PONDER",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "RANDALL",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "318-329-8998",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LOTR"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.