JEFFREY M PHILLIPS (NPI# 1104345206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104345206 |
| Entity Type | Individual |
| Full Name | JEFFREY M PHILLIPS |
| Credential | PT |
| Practice Address |
2906 Plantation Dr Bossier City LA 71111-5851 |
| Mailing Address |
8660 Fern Ave Ste 160 Shreveport LA 71105-5694 |
| Practice Telephone | 3187465295 |
| Practice Fax Number | 3187465297 |
| Mailing Telephone | 3186317999 |
| Mailing Fax Number | 3186319528 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
08020R | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
08020R | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8660 Fern Ave Ste 160, Shreveport, LA 711055694 | (318) 631-7999 | 3186319528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174872451 | Jeffrey Carl Phillips | Veterinarian | 3922 Clear Springs Rd, Mascot, TN 37806-1005 | 2012-09-02 |
| 1477837789 | Jeffrey P Phillips | Psychologist | 505 W 15th, Pleasanton, KS 66075-4095 | 2011-10-05 |
| 1295050078 | Jeffrey Michael Phillips | Pharmacist | 2182 County Line Rd, Huntingdon Valley, PA 19006-1740 | 2010-04-05 |
| 1144365966 | Jeffrey Grant Phillips | Chiropractor | 967 S Coast Highway 101, B109, Encinitas, CA 92024-4443 | 2007-02-20 |
| 1518030196 | Jeffrey Joseph Phillips | Dentist | 5605 Odana Rd, Madison, WI 53719-1207 | 2006-11-15 |
| 1770662769 | Jeffrey J Phillips | Chiropractor | 948a E. Broad St., Columbus, OH 43205 | 2006-11-02 |
| 1003917410 | Jeffrey C Phillips | Dentist | 1109 Liberty Circle S, Salem, OR 97306 | 2006-09-26 |
| 1568572311 | Jeffrey Paul Phillips | Chiropractor | 375 W Main St, Ste D, Woodland, CA 95695 | 2006-08-30 |
| 1134136096 | Jeffrey Scott Phillips | Optometrist | 4504 Texas Blvd, Texarkana, TX 75503-3027 | 2006-08-02 |
| 1811974900 | Jeffrey Dean Phillips | Optometrist | 1903 Tyrone Blvd N, Saint Petersburg, FL 33710-4841 | 2005-12-29 |
| Street Address |
2906 PLANTATION DR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174567564 | Timothy Mark Hart Jr. | Physical Therapist | 2906 Plantation Dr, Bossier City, LA 71111-5851 | 2006-06-15 |
| 1689839516 | Mary Cerise Roper | Occupational Therapist | 2906 Plantation Dr, Bossier City, LA 71111-5851 | 2008-07-21 |
| 1023049202 | Wendy L Stephenson | Physical Therapist | 2906 Plantation Dr, Bossier City, LA 71111-5851 | 2006-07-05 |
| 1518995281 | Tracy D Zytkoskee | Physical Therapist | 2906 Plantation Dr, Bossier City, LA 71111-5851 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588075030 | Craig Barnes | Physical Therapist | 2113 Airline Dr Ste 100, Bossier City, LA 71111-3091 | 2014-05-17 |
| 1558443226 | Jimmy Wayne Harris Jr. | Physical Therapist | 2204 Benton Rd, Bossier City, LA 71111-3404 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898990 | Johnnie L Kleinschmidt | Physical Therapist | 1890 W Gauthier Rd Ste 125, Lake Charles, LA 70605-7180 | 2020-07-13 |
| 1740813534 | R R Rehab LLC | Physical Therapist | 3960 Florida St Ste 3, Mandeville, LA 70448-3340 | 2020-02-19 |
| 1871151399 | Amy Laura Stallings | Physical Therapist | 1135 Expressway Dr Ste 100a, Pineville, LA 71360-6666 | 2019-05-30 |
| 1467016428 | Grant Anthony Falcon | Physical Therapist | 2531 Dulles Dr, Lafayette, LA 70506-2660 | 2019-04-25 |
| 1184192254 | William Keith Mills II | Physical Therapist | 7872 Anselmo Ln Ste B, Baton Rouge, LA 70810-1101 | 2018-11-07 |
| 1225516982 | Mallory Kathryn Lott | Physical Therapist | 234 Loyola Ave Ste 302, New Orleans, LA 70112-2026 | 2018-08-03 |
| 1003315607 | Matthew Alan Armstrong | Physical Therapist | 2530 Bert Kouns Industrial Loop Ste 148, Shreveport, LA 71118-6114 | 2018-02-08 |
| 1972040228 | Lauren Chappetta King | Physical Therapist | Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 | 2017-01-25 |
| 1770031197 | Jade Jones | Physical Therapist | 2310 Commons Ct., Unit 2, Ruston, LA 71270 | 2016-09-14 |
| 1265840516 | Benjamin Michael Wilt | Physical Therapist | 13334 W Mill Grove Dr, Gonzales, LA 70737-6564 | 2014-07-31 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on JEFFREY M PHILLIPS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.