Organization Active NPI

Red River Recovery & Physical Therapy

  • Physical Therapy Clinic/Center
  • Shreveport, LA
National Provider Identifier
1962825331
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
08371 Issued in LA
Legal business name
RED RIVER RECOVERY & PHYSICAL THERAPY
Practice address
2539 E. 70TH St
Shreveport, LA 71105
Phone
(318) 364-7741
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Elizabeth M Hansen, PT, DPT
Title
Physical Therapist/Owner
Phone
(318) 364-7741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 08371 LA Primary

Addresses

Primary practice location

2539 E. 70TH St
Shreveport, LA 71105

Mailing address

440 McCormick St
Shreveport, LA 71104-5014

National Provider Directory

National Provider Directory

Locations

2539 E 70th St
Shreveport, LA 71105
Phone (318) 364-7741

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1962825331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MCCORMICK ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711045014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 E. 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-364-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER RECOVERY & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "318-364-7741",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "08371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.