NPIMap

Organization Active NPI

Elite Physical Therapy Management Company, LLC

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1952786956
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06800 Issued in LA
Legal business name
ELITE PHYSICAL THERAPY MANAGEMENT COMPANY, LLC
Practice address
9222 Burbank Dr
Suite B
Baton Rouge, LA 70820-8612
Phone
(225) 757-6133
Fax
(225) 757-6174
NPI assigned
Jul 21, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Robert Bolton, PT
Title
Physical Therapist
Phone
(225) 757-6133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06800 LA Primary

Addresses

Primary practice location

9222 Burbank Dr
Suite B
Baton Rouge, LA 70820-8612

Mailing address

9222 Burbank Dr
Suite B
Baton Rouge, LA 70820-8612
Phone (225) 757-6133

National Provider Directory

National Provider Directory

Locations

9222 Burbank Dr
Ste B
Baton Rouge, LA 70820
Phone (225) 757-6133

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1952786956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 BURBANK DR",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708208612",
            "telephone_number": "225-757-6133",
            "fax_number": "225-757-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 BURBANK DR",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708208612",
            "telephone_number": "225-757-6133",
            "fax_number": "225-757-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHYSICAL THERAPY MANAGEMENT COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "225-757-6133",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.