PROMOTING LIVELIHOOD AND ABILITY IN YOUTH PHYSICAL THERAPY LLC (NPI# 1386705036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386705036 |
| Entity Type | Organization |
| Organization Name | PROMOTING LIVELIHOOD AND ABILITY IN YOUTH PHYSICAL THERAPY LLC |
| Other Organization Name | P L A Y PHYSICAL THERAPY LLC |
| Practice Address |
1800 Buckner St Suite C-200 Shreveport LA 71101-4440 |
| Practice Telephone | 3182279002 |
| Practice Fax Number | 3182279025 |
| Mailing Telephone | 3182279002 |
| Mailing Fax Number | 3182279025 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | MRS. LYNETTE CRAIN (OWNER) |
| Authorized Official Telephone | 3182279002 |
| 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 |
========= | LA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| P L A Y PHYSICAL THERAPY LLC | Doing Business As Name - Organization |
| Street Address |
1800 BUCKNER ST SUITE C-200 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972559 | Arnold E Barz | Internal Medicine | 1800 Buckner St, Suite C120, Shreveport, LA 71101-4440 | 2005-09-19 |
| 1538488028 | Mary Mladenka-dowden | Nurse Practitioner | 1800 Buckner St, Suite C-120, Shreveport, LA 71101-4440 | 2010-05-23 |
| 1164654646 | Audrey Rachal Smith | Nurse Practitioner | 1800 Buckner St, Suite C-120, Shreveport, LA 71101-4440 | 2009-08-17 |
| 1972741197 | Brittany M Jellum | Physical Therapy Assistant | 1800 Buckner St, Suite C 200, Shreveport, LA 71101-4440 | 2009-01-26 |
| 1154508364 | Delta Medical Services | PACE Provider Organization | 1800 Buckner St, Suite B210, Shreveport, LA 71101-4440 | 2008-01-30 |
| 1740465798 | Zulqarnain Abro | Internal Medicine | 1800 Buckner St, Suite C120, Shreveport, LA 71101-4440 | 2008-01-08 |
| 1356524078 | Shawna Woods Chumley | Occupational Therapist | 1800 Buckner St, C-200, Shreveport, LA 71101-4440 | 2007-12-17 |
| 1316120512 | Kathy Kelley Hughes | Speech-Language Pathologist | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2007-12-11 |
| 1952582991 | The Center for Therapy Pediatric Therapy Services | Occupational Therapist | 1800 Buckner St, C-200, Shreveport, LA 71101-4440 | 2007-11-19 |
| 1932380961 | Molly C Wierick | Occupational Therapist | 1800 Buckner St, C-200, Shreveport, LA 71101-4440 | 2007-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
| 1053362202 | Tri-state Physical Therapy #6 Inc | Clinic/Center | 1610 E Bert Kouns Loop, Shreveport, LA 71105-5717 | 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 |
| 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 | 71101 |
Please comment or provide details below to improve the information on PROMOTING LIVELIHOOD AND ABILITY IN YOUTH PHYSICAL THERAPY 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.