MR. CHARLES MARTIN PLISHKA (NPI# 1609991447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609991447 |
| Entity Type | Individual |
| Full Name | MR. CHARLES MARTIN PLISHKA |
| Credential | D.P.T. |
| Practice Address |
8786 Goodwood Blvd Suite 103 Baton Rouge LA 70806-7917 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2252481895 |
| Practice Fax Number | 2252481906 |
| Mailing Telephone | 2255260011 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 04358 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | OHP PROVIDER NUMBER | 7430288040 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5131 Odonovan Dr Ste 400, Baton Rouge, LA 708084792 | 2257652273 | 2253740251 |
| Street Address |
8786 GOODWOOD BLVD SUITE 103 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-7917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265454045 | Jada Lea Armstrong | Allergy & Immunology | 8786 Goodwood Blvd, Ste 109, Baton Rouge, LA 70806-7917 | 2006-07-24 |
| 1992223937 | Improving Minds, LLC | Community/Behavioral Health | 8786 Goodwood Blvd, Suite 102, Baton Rouge, LA 70802 | 2017-08-30 |
| 1396267738 | Jermayne Terrell Bradford | Counselor | 8786 Goodwood Blvd, Baton Rouge, LA 70806-7917 | 2017-07-07 |
| 1720434665 | Acadian Chiropractic & Wellness LLC | Chiropractor | 8786 Goodwood Blvd, Suite 101, Baton Rouge, LA 70806-7917 | 2016-05-10 |
| 1144651852 | Urgent Care of Baton Rouge, Inc | Clinic/Center | 8786 Goodwood Blvd, Suite 106, Baton Rouge, LA 70806-7917 | 2013-12-05 |
| 1356614218 | Gerald E. Stack M.d., Apmc | Obstetrics & Gynecology | 8786 Goodwood Blvd, Suite 106, Baton Rouge, LA 70806-7917 | 2012-02-22 |
| 1104115310 | Allergy, Asthma & Health Clinic LLC | Allergy & Immunology | 8786 Goodwood Blvd, Suite 109, Baton Rouge, LA 70806-7917 | 2011-03-29 |
| 1316062037 | Posture & Balance Concepts, LLC | Physical Therapist | 8786 Goodwood Blvd, Suite 103, Baton Rouge, LA 70806-7917 | 2007-03-20 |
| 1477607794 | Tiffanny P Chevalier LLC | Pediatrics | 8786 Goodwood Blvd, Suite 105, Baton Rouge, LA 70806-7917 | 2007-01-23 |
| 1861567950 | Gerald E Stack | Specialist | 8786 Goodwood Blvd, Ste. 106, Baton Rouge, LA 70806-7917 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514850 | Industrial Center of Baton Rouge | Physical Therapist | 16645 Highland Rd Ste L, Baton Rouge, LA 70810-6567 | 2020-10-05 |
| 1184264947 | Kinetic Physical Therapy | Physical Therapist | 12150 Lake Estates Ave, Baton Rouge, LA 70810-7324 | 2020-01-09 |
| 1104473925 | Arthur James Wilson Iv | Physical Therapist | 11750 Bricksome Ave, Baton Rouge, LA 70816-5331 | 2019-08-26 |
| 1386208890 | Shari Phares Graci | Physical Therapist | 8155 Jefferson Hwy Apt 1306, Baton Rouge, LA 70809-1621 | 2019-04-30 |
| 1710465703 | Ross J Dufrene | Physical Therapist | 6016 N Shore Dr, Baton Rouge, LA 70817-3942 | 2018-08-01 |
| 1356828495 | Caroline Ruiz Denison | Physical Therapist | 1415 Aberdeen Ave, Baton Rouge, LA 70808-3712 | 2018-07-22 |
| 1831681204 | Luke Adam Bunch | Physical Therapist | 750 Jefferson Hwy, Baton Rouge, LA 70806-6118 | 2018-06-01 |
| 1861919060 | Advanced Wellness Louisiana LLC | Physical Therapist | 9808 Bluebonnet Blvd Ste 201, Baton Rouge, LA 70810-6442 | 2017-08-28 |
| 1205288768 | Sydney Kate Green | Physical Therapist | 4000 Lake Beau Pre Blvd, Baton Rouge, LA 70820-4265 | 2016-07-08 |
| 1013362383 | Erin Wright | Physical Therapist | 3022 Gilbert Dr, Baton Rouge, LA 70809 | 2016-04-25 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.