LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER (NPI# 1346609526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346609526 |
| Entity Type | Organization |
| Organization Name | LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER |
| Other Organization Name | ALLIED HEALTH CLINICS |
| Practice Address |
1450 Claiborne Ave Shreveport LA 71103-4204 |
| Mailing Address |
1501 Kings Hwy Shreveport LA 71103-4228 |
| Practice Telephone | 3188132970 |
| Practice Fax Number | 3188132981 |
| Mailing Telephone | 3188132970 |
| Mailing Fax Number | 3188132981 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | REVA MATTHIEW ROBINSON (DIRECTOR OF CLIN MGMT SYSTEM) |
| Authorized Official Telephone | 3188132962 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 2251N0400X |
Physical Therapist Specialization: Neurology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1174173 | 05 |
| Other Name | Type Code |
|---|---|
| Allied Health Clinics | Doing Business As Name - Organization |
| Rehab Faculty Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871765982 | Louisiana State University Health Sciences Center | Family Medicine | 2351 Vandenburg Drive, Alexandria, LA 71311 | 2008-03-28 |
| 1154461937 | Louisiana State University Health Sciences Center | Audiologist | 3735 Blair Dr, Shreveport, LA 71103-4601 | 2007-02-08 |
| 1801239926 | Louisiana State University Health Sciences Center | General Acute Care Hospital | 5825 Airline Hwy, Baton Rouge, LA 70805-2408 | 2013-04-08 |
| 1144544529 | Louisiana State University Health Sciences Center | Counselor | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2010-03-15 |
| 1689901316 | Louisiana State University Health Sciences Center | Counselor | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2009-11-18 |
| 1437383106 | Louisiana State University Health Sciences Center | Clinical Medical Laboratory | 1501 Kings Hwy, Dpeartment of Surgery Histocompatibility Laboratory, Shreveport, LA 71103-4228 | 2009-05-11 |
| 1649438532 | Louisiana State University Health Sciences Center | Internal Medicine | 1501 Kings Hwy, Department of Internal Medicine - Section of Nephrology, Shreveport, LA 71103-4228 | 2008-05-28 |
| 1316119167 | Louisiana State University Health Sciences Center | Internal Medicine | 4864 Jackson St, Monroe, LA 71202-6400 | 2008-04-01 |
| 1962674713 | Louisiana State University Health Sciences Center | Emergency Medicine | 4864 Jackson St, Monroe, LA 71202-6400 | 2008-04-01 |
| 1952573701 | Louisiana State University Health Sciences Center | General Acute Care Hospital | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2008-04-01 |
| Street Address |
1450 CLAIBORNE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720023773 | Amanda Mahoney | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2006-06-16 |
| 1538773866 | Carson Kolbenschlag | Physical Therapy Assistant | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-09-03 |
| 1679182083 | Summer Abdallah | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-07-31 |
| 1720697816 | Jared Daigle | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-07-24 |
| 1417566597 | Layne Lockwood | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-07-24 |
| 1528676038 | Sarah Murnane | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-07-21 |
| 1437772829 | Katelyn Elizabeth Taylor | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-05-20 |
| 1548817273 | Nicholas Andrew Russell | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2019-08-19 |
| 1619521358 | Zachary Pitre | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2019-07-31 |
| 1528612850 | Carly Paige Funderburk | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010148 | Marietta Suzanne Shepherd | Physical Therapist | 6723 Pines Rd Ste 112, Shreveport, LA 71129-2590 | 2020-10-12 |
| 1235755240 | Ashley M Mccollough | Physical Therapist | 9462 Ellerbe Rd Ste 200, Shreveport, LA 71106-7446 | 2020-06-25 |
| 1467072041 | Chasity Hay | Physical Therapist | 1535 River Parkway Blvd Apt 208, Shreveport, LA 71104-1803 | 2020-04-23 |
| 1912473034 | Fultz Physical Therapy and Joint Rehab, LLC | Physical Therapist | 5795 N Market St Ste 8, Shreveport, LA 71107-2527 | 2018-10-16 |
| 1760965743 | On Point Physical Therapy and Wellness LLC | Physical Therapist | 7591 Fern Ave Ste 1203, Shreveport, LA 71105-5763 | 2018-09-14 |
| 1174012330 | Justin Michael Boyd | Physical Therapist | 727 American Way Ste 2, Shreveport, LA 71106-6117 | 2018-05-03 |
| 1134623457 | Shreveport Aquatic and Land Physical Therapy. LLC | Physical Therapist | 6969 Fern Loop, Shreveport, LA 71105-4159 | 2018-03-21 |
| 1639672553 | Michael Marty | Physical Therapist | 1400 Line Ave, Shreveport, LA 71101-4620 | 2018-03-16 |
| 1609243716 | Core Physical Therapy and Performance, LLC | Physical Therapist | 460 Ashley Ridge Blvd Ste 800, Shreveport, LA 71106-7238 | 2015-08-24 |
| 1922481886 | Zona C Kelly | Physical Therapist | 9402 Stonebriar Cir, Shreveport, LA 71115-3724 | 2015-07-09 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER.
| 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.