Organization Active NPI

Nela Sportcenter, L.L.C.

  • Rehabilitation Clinic/Center
  • West Monroe, LA
National Provider Identifier
1861682148
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Mr. Jacob Randall Ponder, LOTRNPI 1912917741
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.