Active NPI
Natural Ground Therapy
- Mechanotherapist
- Ponchatoula, LA
National Provider Identifier
1982453700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- Legal business name
- NATURAL GROUND THERAPY
- Practice address
- 38581 Maddy LN
Ponchatoula, LA 70454-5084 - Phone
- (985) 335-6442
- NPI assigned
- May 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelli Gautreax-Kliebert, LMT
- Title
- Owner
- Phone
- (985) 335-6442
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | |||
| Health & Wellness Coach | 171400000X | |||
| Mechanotherapist | 172M00000X | Primary | ||
| Health Educator | 174H00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
38581 Maddy LN
Ponchatoula, LA 70454-5084
Mailing address
38581 Maddy LN
Ponchatoula, LA 70454-5084
Phone (985) 335-6442
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1982453700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38581 MADDY LN",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704545084",
"telephone_number": "985-335-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38581 MADDY LN",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704545084",
"telephone_number": "985-335-6442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURAL GROUND THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "GAUTREAX-KLIEBERT",
"authorized_official_first_name": "KELLI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-335-6442",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1501X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mechanotherapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponchatoula, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.