SOUTHSHORE PHYSICAL THERAPY, LLC (NPI# 1962424853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962424853 |
| Entity Type | Organization |
| Organization Name | SOUTHSHORE PHYSICAL THERAPY, LLC |
| Practice Address |
3515 Hessmer Ave Metairie LA 70002-4730 |
| Practice Telephone | 5048858969 |
| Practice Fax Number | 5048859190 |
| Mailing Telephone | 5048858969 |
| Mailing Fax Number | 5048859190 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | MR. LELAND CHARLES COURET JR. (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5048858969 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
04415 | LA | Ambulatory Health Care Facilities |
| Street Address |
3515 HESSMER AVE |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689651242 | Leland Charles Couret Jr. | Physical Therapist | 3515 Hessmer Ave, Metairie, LA 70002-4730 | 2005-12-26 |
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| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740611359 | Therapydia, Inc. | Clinic/Center | 2701 Airline Dr, Suite L, Metairie, LA 70001-5999 | 2013-12-06 |
| 1750442844 | Advanced Rehabilitation of Metairie | Clinic/Center | 4621 W Napoleon, Suite 101, Metairie, LA 70001 | 2006-12-12 |
| 1154361749 | Superior Rehabilitation, LLC | Clinic/Center | 6820 Veterans Blvd, Suite A, Metairie, LA 70003-4494 | 2006-06-08 |
| 1275025538 | Catalyst Physical Therapy, LLC | Clinic/Center | 6824 Veterans Blvd Ste 100, Metairie, LA 70003 | 2018-06-02 |
| 1609371889 | Tandem Physical Therapy, LLC | Clinic/Center | 4931 W Esplanade Ave Ste B, Metairie, LA 70006-2677 | 2018-03-28 |
| 1194198267 | Dustin Roussel | Clinic/Center | 3939 Houma Blvd, Ste 17, Metairie, LA 70006-2931 | 2015-11-11 |
| 1497132070 | In-home Physical Therapy | Clinic/Center | 2301 Severn Ave, B309, Metairie, LA 70001-1949 | 2015-05-02 |
| 1659776383 | Advanced Rehabilitation of Metairie | Clinic/Center | 4621 W Napoleon Ave, Suite 101, Metairie, LA 70001-2487 | 2014-10-23 |
| 1770984130 | Elizabeth Rieger | Clinic/Center | 3000 Severn Ave, Suite 7, Metairie, LA 70002-7605 | 2014-09-04 |
| 1679670012 | Work Recovery Services, LLC | Clinic/Center | 4405 North 1 10 Service Road, Suite 300, Metairie, LA 70006 | 2006-09-20 |
| Find all providers in METAIRIE | ||||
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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.