TRI-STATE PHYSICAL THERAPY #6 INC (NPI# 1053362202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053362202 |
| Entity Type | Organization |
| Organization Name | TRI-STATE PHYSICAL THERAPY #6 INC |
| Practice Address |
1610 E Bert Kouns Loop Shreveport LA 71105-5717 |
| Mailing Address |
2820 Hearne Ave Shreveport LA 71103-3934 |
| Practice Telephone | 3187976156 |
| Practice Fax Number | 3187974074 |
| Mailing Telephone | 3186317999 |
| Mailing Fax Number | 3186319528 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAN B TURNER (PT/ADMINISTRATOR) |
| Authorized Official Telephone | 3186317999 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1610 E BERT KOUNS LOOP |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142024 | Resilience Concierge Physical Therapy | Clinic/Center | 609 Woodmere Dr, Shreveport, LA 71115-3815 | 2020-01-06 |
| 1104385095 | Injurymd, LLC | Clinic/Center | 1715 Marycrest Ave Ste 200, Shreveport, LA 71101-5074 | 2019-03-19 |
| 1962825331 | Red River Recovery & Physical Therapy | Clinic/Center | 2539 E. 70th St, Shreveport, LA 71105 | 2014-01-21 |
| 1538451851 | Specialists Hospital of Louisiana | Clinic/Center | 1500 Line Ave Ste 105, Shreveport, LA 71101-4639 | 2011-05-04 |
| 1326099540 | Tri-state Physical Therapy Number 1 Inc | Clinic/Center | 8660 Fern Ave Ste 160, Shreveport, LA 71105-5694 | 2006-05-12 |
| 1811133093 | Bayou State Therapy | Clinic/Center | 457 Ashley Ridge Blvd Ste B, Shreveport, LA 71106-7229 | 2008-12-18 |
| 1477709681 | Brewer Physical Therapy & Associates LLC | Clinic/Center | 663 Jordan St, Shreveport, LA 71101-4748 | 2008-08-07 |
| 1275790396 | Select Physical Therapy Holdings Inc | Clinic/Center | 820 Jordan St, Ste 370, Shreveport, LA 71101-4518 | 2008-05-16 |
| 1386705036 | Promoting Livelihood and Ability In Youth Physical Therapy LLC | Clinic/Center | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2006-12-13 |
| 1982655130 | Tri-state Physical Therapy #5 Inc | Clinic/Center | 2120 Bert Kouns Loop, Suite B, Shreveport, LA 71118-3351 | 2006-05-12 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on TRI-STATE PHYSICAL THERAPY #6 INC.
| 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.