Individual provider Active NPI

Jonathan Chase Caldwell, DPT

  • Physical Therapist
  • Metairie, LA
National Provider Identifier
1972143089
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10522 Issued in LA
Practice address
3600 Houma Blvd
Metairie, LA 70006-4230
Phone
(504) 309-6500
Fax
(504) 309-6585
NPI assigned
Jan 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10522 LA Primary

Addresses

Primary practice location

3600 Houma Blvd
Metairie, LA 70006-4230

Mailing address

3600 Houma Blvd
Metairie, LA 70006-4230
Phone (504) 309-6500

Other practice location 1

1570 Lindberg Dr Ste 8
Slidell, LA 70458-8084
Phone (985) 326-8139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303001819 LA Practitioner - Physical Therapist in Private Practice 9537596564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Orthopedics LLCGroup PAC ID 4385823913, 8 clinicians

Practice addresses (Care Compare)

3600 Houma Blvd
Metairie, LA 70006-4230
Phone (504) 309-6500

Merit-based Incentive Payment System (MIPS)

Final score
66.53 of 100Reported as group
Quality
47.78
Improvement activities
40
Cost
58.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10522LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Orthopedics LLC CurrentSince Jan 17, 2020 Accepting new patients
A. Jay Binder, M.D., a Medical Corporation PastSince Jan 12, 2020 Accepting new patients

Locations

3434 Houma Blvd
Ste 301
Metairie, LA 70006
Phone (504) 309-6500

3600 Houma Blvd
Metairie, LA 70006
Phone (504) 309-6500

1570 Lindberg Dr
Ste 8
Slidell, LA 70458
Phone (985) 205-3456

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1972143089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064230",
            "telephone_number": "504-309-6500",
            "fax_number": "504-309-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064230",
            "telephone_number": "504-309-6500",
            "fax_number": "504-309-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 Lindberg Dr Ste 8",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588084",
            "country_code": "US",
            "telephone_number": "985-326-8139",
            "fax_number": "985-326-8187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JONATHAN",
        "middle_name": "CHASE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.