360 THERAPY, LLC (NPI# 1992199657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992199657 |
| Entity Type | Organization |
| Organization Name | 360 THERAPY, LLC |
| Other Organization Name | 360 THERAPY |
| Practice Address |
19089 Florida Blvd Albany LA 70711-3603 |
| Mailing Address |
Po Box 1422 Natalbany LA 70451-1422 |
| Practice Telephone | 2252097140 |
| Practice Fax Number | 2255676847 |
| Mailing Telephone | 2252097140 |
| Mailing Fax Number | 2255676847 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | RICHARD J WALE (OWNER) |
| Authorized Official Telephone | 2252097140 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
A5108 | LA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 360 Therapy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 54033 Highway 1062 Ste B, Loranger, LA 704463538 | 2252097140 | 2255676847 |
| Street Address |
19089 FLORIDA BLVD |
| City | ALBANY |
| State | LA |
| Zip Code | 70711-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538174156 | Albany Pharmacy LLC | Pharmacy | 19089 Florida Blvd, Albany, LA 70711-3603 | 2006-07-30 |
| 1912511858 | Jacquelynn Hebert | Physical Therapy Assistant | 19089 Florida Blvd, Albany, LA 70711-3603 | 2020-09-08 |
| 1396253381 | Anthony Lamarca | Physical Medicine & Rehabilitation | 19089 Florida Blvd, Albany, LA 70711-3603 | 2018-01-12 |
| 1760909428 | Ashley Marie Depaula | Pharmacist | 19089 Florida Blvd, Albany, LA 70711-3603 | 2017-08-24 |
| 1750819900 | David Michael Hebert | Physical Therapy Assistant | 19089 Florida Blvd, Albany, LA 70711-3603 | 2017-06-01 |
| 1760913776 | Keely Puma | Speech-Language Pathologist | 19089 Florida Blvd, Albany, LA 70711-3603 | 2017-03-22 |
| 1275078750 | Monica L Brechtel | Occupational Therapist | 19089 Florida Blvd, Albany, LA 70711-3603 | 2016-12-20 |
| 1235505462 | Eileen Willoughby | Occupational Therapist | 19089 Florida Blvd, Albany, LA 70711-3603 | 2015-08-11 |
| 1689068348 | Richard Wale | Physical Therapy Assistant | 19089 Florida Blvd, Albany, LA 70711-3603 | 2015-03-20 |
| 1336539899 | Family Pharmacy LLC | Pharmacy | 19089 Florida Blvd, Albany, LA 70711-3603 | 2015-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716487 | Ashley Durbin Wells | Speech-Language Pathologist | 29777 Veterans Hwy, Albany, LA 70711 | 2020-09-29 |
| 1861002420 | Julie A Purvis | Registered Nurse | Albany Middle, 29675 Reeves, Albany, LA 70711 | 2020-08-07 |
| 1528677762 | Sharmon P Thompson | Registered Nurse | 29777 South Montpelier Road, Albany, LA 70711 | 2020-07-23 |
| 1568976413 | Brandie A Smith | General Practice | 19115 Florida Ave., Suite A, Albany, LA 70711 | 2017-11-29 |
| 1578987244 | Albany Chiropractic LLC | Chiropractor | 28470 La Hwy 43 Suite B, Albany, LA 70711 | 2014-02-14 |
| 1932418043 | John Henry Smith | Pharmacist | 29644 South Montpelier Ave, Albany, LA 70711 | 2010-10-07 |
| 1578880829 | Wanda Lynn Grant | Counselor | 28972 Hwy 43, Albany, LA 70711 | 2010-04-27 |
| 1912178294 | Johns Pharmacy In Albany LLC | Pharmacy | 29148 South Montpelier Ave, Albany, LA 70711 | 2008-03-14 |
| 1801070065 | North Lake Supports & Services Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30199 Julia Street, Albany, LA 70711 | 2007-12-24 |
| 1366553604 | Randell P. Mayer, Dds, Apdc | Dentist | 29906 S Montpelier, Albany, LA 70711 | 2006-08-31 |
| Find all providers in zip 70711 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336370683 | Raymon Stephen Webster Iv | Clinic/Center | 21a Railroad Ave, Unit B, Albany, NY 12205-5931 | 2009-08-04 |
| 1437275542 | Occupational Health Centers of New York, P.a., P.C. | Clinic/Center | 10b Madison Ave. Extension, Albany, NY 12203 | 2007-03-21 |
| 1508917667 | Advanced Rehab Center Inc | Clinic/Center | 709-a North Westover Blvd., Suite A, Albany, GA 31707 | 2007-01-16 |
| 1265936496 | Purificato Physical Therapy Pllc | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-03-21 |
| 1609241447 | St. Cloud Hospital | Clinic/Center | 30 Railroad Ave, Albany, MN 56307-9379 | 2015-12-04 |
| 1346393790 | Thomas Niccolla Consulting Services, Pllc | Clinic/Center | 3 Atrium Dr, Suite 110, Albany, NY 12205-1417 | 2007-01-19 |
| 1568488070 | Karin Kuck | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2006-07-15 |
| 1437191830 | Sports Therapy Albany Pt, PC D/b/a | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2006-06-11 |
| 1912966409 | Athletic Dynamics LLC | Clinic/Center | 7 Southwoods Blvd, 4th Fl, Athletic Dynamics LLC, Albany, NY 12211-2526 | 2006-03-22 |
| 1841292430 | Advanced Physical Therapy of Albany, PC | Clinic/Center | 747 Madison Ave, Suite 1, Albany, NY 12208-3392 | 2005-08-12 |
| Find all providers in ALBANY | ||||
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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.