NPIMap

Organization Active NPI

Jackson Parish Therapy Center LLC

  • Physical Therapist
  • Ruston, LA
National Provider Identifier
1912301128
Registry record updated Oct 17, 2014
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
PT Plus Therapy and Wellness
Practice address
730 Celebrity Dr
Ruston, LA 71270-3875
Phone
(318) 224-8994
Fax
(317) 259-9897
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Mr. Jerry Von Yarborough, DPTNPI 1538413679
Title
Owner
Phone
(318) 259-9899

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

730 Celebrity Dr
Ruston, LA 71270-3875

Mailing address

730 Celebrity Dr
Ruston, LA 71270-3875
Phone (318) 224-8994

Other names 1

  • PT Plus Therapy and Wellness Doing business as

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

730 Celebrity Dr
Ruston, LA 71270
Phone (318) 224-8994

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": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1912301128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 CELEBRITY DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703875",
            "telephone_number": "318-224-8994",
            "fax_number": "317-259-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 CELEBRITY DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703875",
            "telephone_number": "318-224-8994",
            "fax_number": "317-259-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PARISH THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "YARBOROUGH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "VON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-259-9899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Plus Therapy and Wellness",
            "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 Oct 17, 2014; 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.