Individual provider Active NPI

John Deleaumont III, P.T.

  • Physical Therapist
  • Jefferson, LA
National Provider Identifier
1871901496
Registry record updated Aug 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08811 Issued in LA
Practice address
101 River Road
112
Jefferson, LA 70121
Phone
(504) 828-7696
NPI assigned
Jul 28, 2014
Last updated
Aug 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2014

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 08811 LA Primary

Addresses

Primary practice location

101 River Road
112
Jefferson, LA 70121

Mailing address

101 River Road
112
Jefferson, LA 70121
Phone (504) 828-7696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141205001001 LA Practitioner - Physical Therapist in Private Practice 2961724752 Reassigns benefits to 3 organizations

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
Rehab Access LLCGroup PAC ID 3173591708, 11 clinicians
Airline Physical Therapy and Spine LLCGroup PAC ID 9032573365, 3 clinicians

Practice addresses (Care Compare)

2600 Airline Dr
Metairie, LA 70001-5975
Phone (504) 766-8994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Airline Physical Therapy and Spine LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Crane Rehab Center LLC CurrentSince Aug 1, 2014 Accepting new patients
Rehab Access LLC Physical Therapist CurrentSince Nov 13, 2025 Accepting new patients
Lakeview Physical Therapy and Spine LLC Physical Therapist PastSince Oct 31, 2021 Accepting new patients

Locations

2600 Airline Dr
Metairie, LA 70001
Phone (504) 354-8291

101 River Rd
Ste 112
New Orleans, LA 70121
Phone (504) 828-7696

1712 Stumpf Blvd
Terrytown, LA 70056
Phone (504) 365-1020

Organizations & group practices 4

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408233600000",
    "number": "1871901496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVER ROAD",
            "address_2": "112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-828-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVER ROAD",
            "address_2": "112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-828-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEAUMONT",
        "first_name": "JOHN",
        "name_suffix": "III",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.