NPIMap

Organization Active NPI

MC2 Enterprises, LLC

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1982830337
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MC2 ENTERPRISES, LLC
Practice address
350 S Foster Dr
Baton Rouge, LA 70806-4105
Phone
(225) 485-4494
Fax
(225) 923-0111
NPI assigned
May 29, 2009
Organization subpart
Yes
Parent organization
MC2 ENTERPRISES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Julianne H Mustain
Title
Office Manager
Phone
(225) 456-4419

Specialties & licenses 1

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

Addresses

Primary practice location

350 S Foster Dr
Baton Rouge, LA 70806-4105

Mailing address

4715 Perkins Rd
Baton Rouge, LA 70808-3040
Phone (225) 923-0110

Other names 1

  • Go Physical Therapy- S. Foster Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MC2 Enterprises LLC3 organizations share this tax ID, including this one
Part of
MC2 Enterprises LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1982830337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083040",
            "telephone_number": "225-923-0110",
            "fax_number": "225-923-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S FOSTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064105",
            "telephone_number": "225-485-4494",
            "fax_number": "225-923-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC2 ENTERPRISES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MC2 ENTERPRISES, LLC",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "MUSTAIN",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-456-4419"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Go Physical Therapy- S. Foster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.