Southshore Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

04415 Issued in LA

Legal business name

SOUTHSHORE PHYSICAL THERAPY, LLC

Practice address

3515 Hessmer Ave
Metairie, LA 70002-4730

Phone

(504) 885-8969

Fax

(504) 885-9190

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leland Charles Couret Jr., P.T.NPI 1689651242

Title

Owner/Physical Therapist

Phone

(504) 885-8969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leland Charles Couret Jr., P.T.

  • Physical Therapist
  • Metairie, LA
  • NPI 1689651242
  Medicare reassignment Care Compare group NPD Authorized official
• Gabrielle B Cusimano, P.T.

  • Physical Therapist
  • Metairie, LA
  • NPI 1346263423
  Medicare reassignment Care Compare group NPD
• Angelina C Corales, PT

  • Physical Therapist
  • Metairie, LA
  • NPI 1376981449
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1962424853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 HESSMER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024730",
            "telephone_number": "504-885-8969",
            "fax_number": "504-885-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 HESSMER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024730",
            "telephone_number": "504-885-8969",
            "fax_number": "504-885-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSHORE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "COURET",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "504-885-8969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "04415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Sleep Diagnostics LLC
• Southern Surgical Assist, LLC
• Southern Wound Care Specialist
• Southshore Lung Center, LLC
• Southshore Medical Associates Inc
• Debbie D. Soyez, SPEECH PATHOLOGIST
• Susanna Spangler, LMSW
• Sparrow Medical Supply LLC
• Samaj Nevaeh Spaulding
• Chanel Speaks

• Physical Therapy Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.