NPIMap

Organization Active NPI

360 Therapy, LLC

Doing business as 360 Therapy

  • Physical Therapy Clinic/Center
  • Albany, LA
National Provider Identifier
1992199657
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
A5108 Issued in LA
Legal business name
360 THERAPY, LLC
Doing business as
360 Therapy
Practice address
19089 Florida Blvd
Albany, LA 70711-3603
Phone
(225) 209-7140
Fax
(225) 567-6847
NPI assigned
Mar 20, 2015
Last updated
Jan 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Melissa F Tate, PTNPI 1740560481
Title
Owner
Phone
(225) 209-7140

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 A5108 LA Primary

Addresses

Primary practice location

19089 Florida Blvd
Albany, LA 70711-3603

Mailing address

PO Box 1536
Albany, LA 70711-1536
Phone (225) 209-7140

Other practice location 1

54033 Highway 1062 Ste B
Loranger, LA 70446-3538
Phone (225) 209-7140

Other names 1

  • 360 Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160527000369 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416247713 Receives reassigned benefits from 3 practitioners
Practice locations: Albany, LA; Loranger, LA; Kentwood, LA

National Provider Directory

National Provider Directory

Locations

706 Avenue G
Ste 2
Kentwood, LA 70444
Phone (985) 614-5000

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1992199657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "ALBANY",
            "state": "LA",
            "postal_code": "707111536",
            "telephone_number": "225-209-7140",
            "fax_number": "225-567-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19089 FLORIDA BLVD",
            "city": "ALBANY",
            "state": "LA",
            "postal_code": "707113603",
            "telephone_number": "225-209-7140",
            "fax_number": "225-567-6847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54033 Highway 1062 Ste B",
            "address_purpose": "LOCATION",
            "city": "Loranger",
            "state": "LA",
            "postal_code": "704463538",
            "country_code": "US",
            "telephone_number": "225-209-7140",
            "fax_number": "225-567-6847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "360 THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-209-7140",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "A5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.