Josiah Eastman, PT, DPT, ATC, LAT
Individual provider Active NPI Physical Therapist · Geismar, LA
NPI 1972028926 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1972028926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 09665 (LA)
- Practice address
- 36491 Dutchtown Gardens Ave
Geismar, LA 70734-3081 - Phone
- (225) 744-7325
- Fax
- (225) 744-7330
- NPI assigned
- Aug 11, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 09665 | LA | Yes |
Addresses
Primary practice location
36491 Dutchtown Gardens Ave
Geismar, LA 70734-3081
Mailing address
36491 Dutchtown Gardens Ave
Geismar, LA 70734-3081
Phone (225) 744-7325
Other providers in Geismar, LA
- Antonia Dupree
- Dutchtown Family Pharmacy
- Dutchtown Pharmacy L L C
- Dutchtown Physical Therapy
- Shantay Ealy
- Family Pharmacy LLC
- Willie Massey Farve
- Ashleigh Pipes Frederic
- Crayanchia Gabriel
- Kevin Lee Gatlin
All providers in Geismar, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.