NPIMap

Organization Active NPI

Jackson Parish Therapy Center LLC

Doing business as Fyzical Therapy & Balance Centers

  • Physical Therapist
  • Ruston, LA
National Provider Identifier
1891794491
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JACKSON PARISH THERAPY CENTER LLC
Doing business as
Fyzical Therapy & Balance Centers
Practice address
1701 Commerce St
Ruston, LA 71270-6659
Phone
(318) 224-8994
Fax
(318) 224-7094
NPI assigned
Jul 18, 2005
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Jerry V Yarborough, PT, DPTNPI 1538413679
Title
Owner
Phone
(318) 224-8994

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 03825R LA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1701 Commerce St
Ruston, LA 71270-6659

Mailing address

PO Box 2846
Ruston, LA 71273-2846
Phone (318) 224-8994

Other practice location 1

523 E 6th St
El Dorado, AR 71730-4007
Phone (870) 201-2222

Other practice location 2

1907 E Madison Ave
Bastrop, LA 71220-4069
Phone (318) 283-8384

Other practice location 3

1901 Roselawn Ave Ste A
Monroe, LA 71201-5774
Phone (318) 322-7050

Other practice location 4

900 Pershing Hwy
Jonesboro, LA 71251-2046
Phone (318) 259-9899

Other practice location 5

105 Blanchard St
West Monroe, LA 71291-7369
Phone (318) 398-9940

Other names 1

  • Fyzical Therapy & Balance Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050822000213 LA Part B Supplier - Clinic/Group Practice 8022048867 Receives reassigned benefits from 30 practitioners
Practice locations: West Monroe, LA; Ruston, LA; Prairieville, LA; Monroe, LA; Lafayette, LA; Baton Rouge, LA; Jonesboro, LA; Alexandria, LA…
O20211123001817 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022048867 Receives reassigned benefits from 4 practitioners
Practice locations: El Dorado, AR

National Provider Directory

National Provider Directory
Tax ID family
Fyzical Therapy and Balance Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

523 E 6th St
El Dorado, AR 71730
Phone (870) 201-2222

221 Windermere Blvd
Ste A
Alexandria, LA 71303
Phone (318) 545-7878

1907 E Madison Ave
Bastrop, LA 71220
Phone (318) 283-8384

4663 Quitman Hwy
Hodge, LA 71247
Phone (318) 259-9899

900 Pershing Hwy
Jonesboro, LA 71251
Phone (318) 224-8994

1700 Kaliste Saloom Rd
Ste 100
Lafayette, LA 70508
Phone (337) 210-2098

1700 Kaliste Saloom Rd
Ste 100B
Lafayette, LA 70508

825 Kaliste Saloom Rd
#102
Lafayette, LA 70508

825 Kaliste Saloom Rd
Ste 102
Lafayette, LA 70508
Phone (337) 210-2098

5000 Forsythe Byp
Ste 110
Monroe, LA 71201
Phone (318) 322-7050

16172 Airline Hwy
#B
Prairieville, LA 70769
Phone (225) 255-4020

1701 Commerce St
Ruston, LA 71270
Phone (318) 224-8994

Practitioners & affiliated clinicians

Practitioners 73

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.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1891794491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2846",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712732846",
            "telephone_number": "318-224-8994",
            "fax_number": "318-224-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COMMERCE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706659",
            "telephone_number": "318-224-8994",
            "fax_number": "318-224-7094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 E 6th St",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717304007",
            "country_code": "US",
            "telephone_number": "870-201-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 E Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712204069",
            "country_code": "US",
            "telephone_number": "318-283-8384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Roselawn Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015774",
            "country_code": "US",
            "telephone_number": "318-322-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Pershing Hwy",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "LA",
            "postal_code": "712512046",
            "country_code": "US",
            "telephone_number": "318-259-9899",
            "fax_number": "318-259-9897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Blanchard St",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712917369",
            "country_code": "US",
            "telephone_number": "318-398-9940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKSON PARISH THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "YARBOROUGH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-224-8994",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "03825R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.