AMITE PHYSICAL THERAPY (NPI# 1003978545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003978545 |
| Entity Type | Organization |
| Organization Name | AMITE PHYSICAL THERAPY |
| Other Organization Name | PROFESSIONAL PHYSICAL THERAPY |
| Practice Address |
216 N 2nd St Amite LA 70422-2408 |
| Mailing Address |
Po Box 398 Amite LA 70422-0398 |
| Practice Telephone | 9857487878 |
| Practice Fax Number | 9857482837 |
| Mailing Telephone | 9857487878 |
| Mailing Fax Number | 9857482837 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PROF. MARVIN BRUCE NEAL JR. (PRESIDENT) |
| Authorized Official Telephone | 9857487878 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | LA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Professional Physical Therapy | Doing Business As Name - Organization |
| Street Address |
216 N 2ND ST |
| City | AMITE |
| State | LA |
| Zip Code | 70422-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730656257 | Kim Marie Baughman | Physical Therapist | 216 N 2nd St, Amite, LA 70422-2408 | 2018-11-01 |
| 1144404914 | Dustin Kent Mitchell | Physical Therapist | 216 N 2nd St, Amite, LA 70422-2408 | 2007-12-28 |
| 1770630931 | Owen James Faust | Specialist | 216 N 2nd St, Amite, LA 70422-2408 | 2007-01-03 |
| 1083761266 | Amite Physical Therapy Dba Professional Physical Therapy | Durable Medical Equipment & Medical Supplies | 216 N 2nd St, Amite, LA 70422-2408 | 2007-01-03 |
| 1265589451 | Amite Physical Therapy Inc | Specialist | 216 N 2nd St, Amite, LA 70422-2408 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829060 | Antwyla Chadell Lee | Non-emergency Medical Transport (VAN) | 3285 Hwy 1045, Amite, Amite, LA 70422 | 2019-09-09 |
| 1124686571 | Angela Rook Paretti | Nurse Practitioner | 409 Nw Central Ave Ste B, Amite, LA 70422 | 2019-05-31 |
| 1902328370 | Michael Anthony Showers | Counselor | 17536 Rising Fawn Rd, Amite, LA 70422 | 2017-07-07 |
| 1023552064 | Javier E Moreno | Occupational Therapist | 216 North 2nd Street, Amite, LA 70422 | 2016-12-09 |
| 1578921938 | Kelan Woods | Counselor | 11466 Wheeler Rd, Amite, LA 70422 | 2016-02-01 |
| 1538533203 | Trina Fisher | Social Worker | 1011 Nw Central Suite N, Amite, LA 70422 | 2015-11-18 |
| 1538549621 | Linda Coleman | Counselor | 1011 Nw Central Avenue, Suite N, Amite, LA 70422 | 2015-06-03 |
| 1437553807 | Cheryl Smith | Registered Nurse | 330 West Oak, Amite, LA 70422 | 2014-10-14 |
| 1972911345 | Counseling Services | Marriage & Family Therapist | 12330 Larock, Amite, LA 70422 | 2014-07-29 |
| 1558628057 | Latonya L Smith | Counselor | 1011 Nw Central Ave Ste N, Amite, LA 70422 | 2012-04-20 |
| Find all providers in zip 70422 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992072953 | Acceptance Kidmed of La LLC | Medical Genetics, Ph.D. Medical Genetics | 947 N Bon Marche Dr, 107, Baton Rouge, LA 70806-8833 | 2011-11-18 |
| 1417289711 | Acceptance Community Care Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 15142 Mary Elizabeth Dr, Baton Rouge, LA 70816-9043 | 2010-02-11 |
| 1669633541 | Evangeline Rachel Hall Franklin | Medical Genetics, Ph.D. Medical Genetics | 5640 Read Blvd Ste 540, New Orleans, LA 70127-7811 | 2008-06-23 |
| 1851420756 | Faith S. Rickert | Medical Genetics, Ph.D. Medical Genetics | 1705 Viola St., Mandeville, LA 70448 | 2007-03-05 |
| 1578517066 | Acceptance Physical Medicine & Rehabilitation Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2156 Wooddale Blvd, Suite 140, Baton Rouge, LA 70806-1403 | 2006-05-20 |
| 1295714624 | Johnetta Renee Hall | Medical Genetics, Ph.D. Medical Genetics | 915 Ann St, New Iberia, LA 70560-5676 | 2006-01-13 |
| 1013387620 | Mary Catherine Phelan Iv | Medical Genetics, Ph.D. Medical Genetics | 1430 Tulane Ave, Sl31, New Orleans, LA 70112-2632 | 2015-09-25 |
| 1982981320 | Accent Urgent Care Clinic LLC | Medical Genetics, Ph.D. Medical Genetics | 1821 Wooddale Ct, Suite 203, Baton Rouge, LA 70806-1535 | 2011-11-14 |
| 1245463710 | Acceptance Kidmed of Louisiana LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-08-31 |
| 1962644641 | Acceptance Physical Medicine & Rehab Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-03-27 |
| 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.