Organization Active NPI

Uptown Premier Medical Rehab LLC

  • Chiropractor
  • New Orleans, LA
National Provider Identifier
1881903987
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1088 Issued in LA
Legal business name
UPTOWN PREMIER MEDICAL REHAB LLC
Practice address
8422 Oak St.
New Orleans, LA 70118
Phone
(504) 861-8000
Fax
(504) 861-1565
NPI assigned
Oct 7, 2010
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Craig J. Ledet, D.C.NPI 1558490268
Title
Owner/President
Phone
(504) 861-8000

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
Chiropractor 111N00000X 1088 LA Primary

Addresses

Primary practice location

8422 Oak St.
New Orleans, LA 70118

Mailing address

8422 Oak St.
New Orleans, LA 70118
Phone (504) 861-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000008 LA Part B Supplier - Clinic/Group Practice 5395904361 Receives reassigned benefits from 3 practitioners
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

8422 Oak St
New Orleans, LA 70118
Phone (504) 861-1495

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1881903987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 OAK ST.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-861-8000",
            "fax_number": "504-861-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 OAK ST.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-861-8000",
            "fax_number": "504-861-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN PREMIER MEDICAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "LEDET",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "504-861-8000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.

Verify at the official NPI Registry.