PHYSIOFIT PHYSICAL THERAPY, LLC (NPI# 1386080323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386080323 |
| Entity Type | Organization |
| Organization Name | PHYSIOFIT PHYSICAL THERAPY, LLC |
| Practice Address |
120 White Rose Dr Raceland LA 70394-2644 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 9855329662 |
| Practice Fax Number | 9855323942 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | KILEY RUSSELL (MANAGER) |
| Authorized Official Telephone | 4232388923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855343 | Physiofit Physical Therapy, LLC | Occupational Therapist | 4001 General Degaulle Dr Ste B, New Orleans, LA 70114-8232 | 2020-09-15 |
| 1013353002 | Physiofit Physical Therapy, LLC | Occupational Therapist | 13554 Highway 3235 Ste B, Larose, LA 70373-3204 | 2013-05-16 |
| 1760014104 | Physiofit Physical Therapy, LLC | Occupational Therapist | 12627 Airline Hwy Ste A, Destrehan, LA 70047-2550 | 2020-02-04 |
| 1033603519 | Physiofit Physical Therapy, LLC | Occupational Therapist | 624 Lafayette St Ste C, Youngsville, LA 70592 | 2018-06-19 |
| 1477050656 | Physiofit Physical Therapy, LLC | Occupational Therapist | 4221 Old Gentilly Rd Ste C, New Orleans, LA 70126-4901 | 2018-04-12 |
| 1326558917 | Physiofit Physical Therapy, LLC | Occupational Therapist | 2312 David Dr Ste C, Metairie, LA 70003-4504 | 2017-10-09 |
| 1538610175 | Physiofit Physical Therapy, LLC | Occupational Therapist | 71121 Highway 21 Apt D, Covington, LA 70433-7176 | 2016-10-19 |
| 1316310030 | Physiofit Physical Therapy, LLC | Occupational Therapist | 4500 Magazine St, Ste 3, New Orleans, LA 70115-1543 | 2015-11-03 |
| 1609207265 | Physiofit Physical Therapy, LLC | Occupational Therapist | 331 W Harrison Ave, New Orleans, LA 70124-1343 | 2013-12-09 |
| 1497191480 | Physiofit Physical Therapy, LLC | Occupational Therapist | 18641 Highway 3235, Galliano, LA 70354-3936 | 2013-05-16 |
| Street Address |
120 WHITE ROSE DR |
| City | RACELAND |
| State | LA |
| Zip Code | 70394-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093872459 | Jennifer Matherne Plaisance | Physical Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2007-01-03 |
| 1194351361 | Caroline Robichaux Boone | Occupational Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2020-03-19 |
| 1740816404 | Elizabeth Ann Leboeuf | Physical Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2020-03-13 |
| 1811462351 | Grant Michael Thibodeaux | Physical Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2018-10-11 |
| 1063936466 | Jill Renee' Brady | Occupational Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2017-07-28 |
| 1316313547 | Brittany Grabert Chauvin | Physical Therapy Assistant | 120 White Rose Dr, Raceland, LA 70394 | 2015-08-11 |
| 1699111674 | Physiofit Physical Therapy, LLC | Occupational Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2013-05-16 |
| 1184984924 | Christopher Daniel Blanchard | Physical Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2012-05-28 |
| 1134412216 | Physiofit Dme LLC | Durable Medical Equipment & Medical Supplies | 120 White Rose Dr, Raceland, LA 70394-2644 | 2011-05-23 |
| 1174832406 | Darnell Vogt Burgess | Occupational Therapist | 120 White Rose Dr, Raceland, LA 70394-2644 | 2010-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221798 | Caitlin Morris Bacon | Registered Nurse | 4244 Highway 1, Raceland, LA 70394 | 2019-02-13 |
| 1326571597 | Kakeisha Harris | Counselor | 144 Colvan St, Raceland, LA 70394 | 2017-04-05 |
| 1023468774 | Denise Taylor | Counselor | 4075 Hwy 1, Raceland, LA 70394 | 2016-06-14 |
| 1023471133 | Aubrey Orgeron | Psychiatry & Neurology | 111 Twin Oaks Dr., Raceland, LA 70394 | 2016-04-05 |
| 1114383239 | Michelle Rabb | Counselor | 3821 Hwy 1, Raceland, LA 70394 | 2016-01-05 |
| 1508221979 | Renisha Cecilia Oubre | Counselor | 3821 Highway 1, Raceland, LA 70394 | 2015-12-29 |
| 1922463983 | Kiaria Gray | Case Manager/Care Coordinator | 3821 La-1, Raceland, LA 70394 | 2015-12-17 |
| 1285068098 | Don A Falgout | Nurse Anesthetist, Certified Registered | 4608 Hwy 1, Raceland, LA 70394 | 2013-08-28 |
| 1215211933 | Dalton Joseph Boudreaux Jr. | Pharmacist | 4572 Hwy One, Raceland, LA 70394 | 2011-09-29 |
| 1790065746 | Cheri Lasseigne | Chiropractor | 108 Acadia Dr., Raceland, LA 70394 | 2011-08-23 |
| Find all providers in zip 70394 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710121 | Physiofit LLC | Clinic/Center | 115 Johnny Dufrene Dr, Raceland, LA 70394-2611 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851878 | Geaux Fight Rehabilitation Services, LLC | Clinic/Center | 424 W 15th Ave, Covington, LA 70433-3310 | 2020-11-03 |
| 1558961185 | Ashley Marie Cagle | Clinic/Center | 837 Birdnest Rd, Lake Charles, LA 70611-5816 | 2020-11-01 |
| 1437766961 | Louisiana Concierge Physical Therapy, LLC | Clinic/Center | 10710 Misty Vale Ave, Baton Rouge, LA 70810-3030 | 2020-09-29 |
| 1043836141 | Rehab Plus, LLC | Clinic/Center | 1242 S Morrison Blvd Ste O, Hammond, LA 70403-5702 | 2020-06-24 |
| 1972142024 | Resilience Concierge Physical Therapy | Clinic/Center | 609 Woodmere Dr, Shreveport, LA 71115-3815 | 2020-01-06 |
| 1437796943 | Angels of Therapy LLC | Clinic/Center | 1503 Gause Blvd Ste 6, Slidell, LA 70458-2246 | 2019-12-03 |
| 1598308884 | Bennett Physical Therapy, LLC | Clinic/Center | 64167 Highway 41 Ste C, Pearl River, LA 70452-3638 | 2019-10-20 |
| 1235791930 | Lakeview Physical Therapy and Spine LLC | Clinic/Center | 435 28th St, New Orleans, LA 70124-1327 | 2019-07-02 |
| 1700446846 | Unlock Physical Therapy LLC | Clinic/Center | 3810 Ambassador Caffery Pkwy Ste 500, Lafayette, LA 70503-5266 | 2019-06-20 |
| 1104385095 | Injurymd, LLC | Clinic/Center | 1715 Marycrest Ave Ste 200, Shreveport, LA 71101-5074 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
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| 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.