Organization Active NPI

Minden Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Minden, LA
National Provider Identifier
1982466157
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MINDEN PHYSICAL THERAPY LLC
Practice address
111 Ryans Way
Minden, LA 71055-4231
Phone
(318) 636-8046
Fax
(318) 636-8036
NPI assigned
Jan 24, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Mr. William D. James, DPTNPI 1124403555
Title
Owner
Phone
(318) 470-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

111 Ryans Way
Minden, LA 71055-4231

Mailing address

PO Box 332
Stonewall, LA 71078-0332
Phone (318) 636-8046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701000158 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6901340082 Receives reassigned benefits from 2 practitioners
Practice locations: Minden, LA

National Provider Directory

National Provider Directory

Locations

111 Ryans Way
Minden, LA 71055
Phone (318) 377-1709

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1982466157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710780332",
            "telephone_number": "318-636-8046",
            "fax_number": "318-636-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RYANS WAY",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710554231",
            "telephone_number": "318-636-8046",
            "fax_number": "318-636-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-470-3111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.