Organization Active NPI

Residential Therapy Solutions, LLC

  • Physical Therapist
  • Deridder, LA
National Provider Identifier
1902367568
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESIDENTIAL THERAPY SOLUTIONS, LLC
Practice address
19503 Hwy 171
Deridder, LA 70634
Phone
(337) 424-9307
Fax
(337) 463-8191
NPI assigned
Mar 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Cody Leblanc, PT
Title
Owner
Phone
(337) 424-9307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

19503 Hwy 171
Deridder, LA 70634

Mailing address

19503 Hwy 171
Deridder, LA 70634
Phone (337) 424-9307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190531000208 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698008902 Receives reassigned benefits from 1 practitioner
Practice locations: Deridder, LA

National Provider Directory

National Provider Directory

Locations

19503 Lake Charles Hwy
Deridder, LA 70634
Phone (337) 202-7045

Practitioners & affiliated clinicians

Practitioners 3

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": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1902367568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19503 HWY 171",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "70634",
            "telephone_number": "337-424-9307",
            "fax_number": "337-463-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19503 HWY 171",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "70634",
            "telephone_number": "337-424-9307",
            "fax_number": "337-463-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-424-9307",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.