Rehabilitation & Sports Care Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REHABILITATION & SPORTS CARE CENTER LLC

Practice address

14159 Highway 16
Amite, LA 70422-4603

Phone

(985) 747-3422

Fax

(985) 747-3424

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Brennan C Kelsey, PTNPI 1003856790

Title

Owner

Phone

(985) 747-3422

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Brennan C Kelsey, PT

  • Physical Therapist
  • Amite, LA
  • NPI 1003856790
  NPD Authorized official
• Banyon L Tuminello, PT

  • Physical Therapist
  • Amite, LA
  • NPI 1669427977
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1972558641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704220971",
            "telephone_number": "985-747-3422",
            "fax_number": "985-747-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14159 HIGHWAY 16",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704224603",
            "telephone_number": "985-747-3422",
            "fax_number": "985-747-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION & SPORTS CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "BRENNAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-747-3422",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "F3493",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Amite, LA
• Providers in Amite, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.