NPIMap

Organization Active NPI

Cross Gates Physical Therapy

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1972924041
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CROSS GATES PHYSICAL THERAPY
Practice address
2965 Gause Blvd E
Slidell, LA 70461-4154
Phone
(985) 231-6480
Fax
(985) 231-6482
NPI assigned
Dec 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Ms. Sally Elizabeth Burk, PT
Title
Member
Phone
(985) 231-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2965 Gause Blvd E
Slidell, LA 70461-4154

Mailing address

2965 Gause Blvd E
Slidell, LA 70461-4154
Phone (985) 231-6480

National Provider Directory

National Provider Directory

Locations

200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029

4038 Pontchartrain Dr
Slidell, LA 70458
Phone (985) 641-2996

1150 Robert Blvd
Ste 232
Slidell, LA 70458
Phone (985) 288-1509

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1972924041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614154",
            "telephone_number": "985-231-6480",
            "fax_number": "985-231-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614154",
            "telephone_number": "985-231-6480",
            "fax_number": "985-231-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS GATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "985-231-6480",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.