SPORTS ORTHOPEDIC & SPINE THERAPY OF LOUISIANA, LLC (NPI# 1104393743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104393743 |
| Entity Type | Organization |
| Organization Name | SPORTS ORTHOPEDIC & SPINE THERAPY OF LOUISIANA, LLC |
| Practice Address |
169 Bent Tree Loop Haughton LA 71037-9085 |
| Practice Telephone | 3187459168 |
| Mailing Telephone | 3187459168 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | MARK GREEN (OWNER-MANAGER) |
| Authorized Official Telephone | 3187459168 |
| 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 |
169 BENT TREE LOOP |
| City | HAUGHTON |
| State | LA |
| Zip Code | 71037-9085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480920 | Lance Danos | Physical Therapist | 4615 Us-80, #9, Haughton, LA 71037 | 2020-09-03 |
| 1699392589 | Minden Physician Practices LLC | Clinic/Center | 170 Healthcare Plaza, Haughton, LA 71037 | 2020-06-26 |
| 1427590942 | Elvira Poole | Counselor | 1122 Bellevue Rd., Haughton, LA 71037 | 2016-11-15 |
| 1558622563 | Haughton Vision, LLC | Optometrist | 4010 Hwy 80, Haughton, LA 71037 | 2012-06-06 |
| 1518138528 | Suzanne Owens Craig | Counselor | 1825 Hwy 80 East, Haughton, LA 71037 | 2008-03-18 |
| 1861523730 | Louisiana Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 998 Highway 80, Haughton, LA 71037 | 2007-03-09 |
| 1992832083 | Alan Brent Berry | Dentist | 2900 Hwy. 80 East, Haughton, LA 71037 | 2007-02-27 |
| 1922036763 | Wk Haughton Medical Group | Family Medicine | 1025 Highway 80 E, Haughton, LA 71037 | 2006-06-29 |
| 1063560621 | Evergreen Presbyterian Ministries, Inc. | Intermediate Care Facility, Mentally Retarded | 203 Espanita Blvd, Haughton, LA 71037-5903 | 2007-01-08 |
| 1083044523 | Life Investment Group, LLC | Community/Behavioral Health | 105 E Washington Ave, Haughton, LA 71037-6000 | 2013-11-20 |
| Find all providers in zip 71037 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518138023 | Custom Care Therapy and Wellness, Inc. | Clinic/Center | 1151 Highway 614, Haughton, LA 71037-8977 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851878 | Geaux Fight Rehabilitation Services, LLC | Clinic/Center | 424 W 15th Ave, Covington, LA 70433-3310 | 2020-11-03 |
| 1558961185 | Ashley Marie Cagle | Clinic/Center | 837 Birdnest Rd, Lake Charles, LA 70611-5816 | 2020-11-01 |
| 1437766961 | Louisiana Concierge Physical Therapy, LLC | Clinic/Center | 10710 Misty Vale Ave, Baton Rouge, LA 70810-3030 | 2020-09-29 |
| 1043836141 | Rehab Plus, LLC | Clinic/Center | 1242 S Morrison Blvd Ste O, Hammond, LA 70403-5702 | 2020-06-24 |
| 1972142024 | Resilience Concierge Physical Therapy | Clinic/Center | 609 Woodmere Dr, Shreveport, LA 71115-3815 | 2020-01-06 |
| 1437796943 | Angels of Therapy LLC | Clinic/Center | 1503 Gause Blvd Ste 6, Slidell, LA 70458-2246 | 2019-12-03 |
| 1598308884 | Bennett Physical Therapy, LLC | Clinic/Center | 64167 Highway 41 Ste C, Pearl River, LA 70452-3638 | 2019-10-20 |
| 1235791930 | Lakeview Physical Therapy and Spine LLC | Clinic/Center | 435 28th St, New Orleans, LA 70124-1327 | 2019-07-02 |
| 1700446846 | Unlock Physical Therapy LLC | Clinic/Center | 3810 Ambassador Caffery Pkwy Ste 500, Lafayette, LA 70503-5266 | 2019-06-20 |
| 1104385095 | Injurymd, LLC | Clinic/Center | 1715 Marycrest Ave Ste 200, Shreveport, LA 71101-5074 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SPORTS ORTHOPEDIC & SPINE THERAPY OF LOUISIANA, LLC.
| 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.