Cameron Cupp

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11271 Issued in LA

Practice address

304 E Reynolds Dr
Ruston, LA 71270-2817

Phone

(318) 224-9148

NPI assigned

Sep 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Arkansas College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JBJT Services LLCGroup PAC ID 1557630993, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JBJT Services, LLC

  • Physical Therapist
  • Ruston, LA
  • NPI 1699212688
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1932820156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W HOLLY RD",
            "city": "JUNCTION CITY",
            "state": "AR",
            "postal_code": "717498657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E REYNOLDS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702817",
            "telephone_number": "318-224-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theraoffice",
            "affiliation": "N",
            "endpointDescription": "Theraoffice is the EMR system used by our clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "304 E Reynolds Dr",
            "city": "Ruston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712702817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrice Crosby
• Judy Carolyn Crow, ED.D.
• Joia Crowe
• Katina Crowe
• Damion R Cummins, PH.D., LPC, LMFT
• Marlene Daher, M.D.
• Carson Dahl, DDS
• Markia Daigs
• Kanethia Daniel, PHARMD
• Danni Jones Physical Therapy

• Physical Therapist in Ruston, LA
• Providers in Ruston, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.