CORE PHYSICAL THERAPY, LLC (NPI# 1548659840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548659840 |
| Entity Type | Organization |
| Organization Name | CORE PHYSICAL THERAPY, LLC |
| Practice Address |
4616 Highway 84 W Vidalia LA 71373 |
| Mailing Address |
4616 Highway 84 W Vidalia LA 71373-3357 |
| Practice Telephone | 3183365400 |
| Practice Fax Number | 3183368621 |
| Mailing Telephone | 3183365400 |
| Mailing Fax Number | 3183368621 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | MILAH MCGRAW (BUS MANAGER) |
| Authorized Official Telephone | 3183365400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
09009R | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 236280 | 05 | |
| MS | 05702398 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255355921 | Core Physical Therapy, LLC | Physical Therapist | 2 Manor Parkway, Suite 3, Salem, NH 03079 | 2006-07-27 |
| 1972917094 | Core Physical Therapy, LLC | Physical Therapist | 51 E 1st St, Sheridan, WY 82801-3601 | 2014-06-17 |
| 1821308313 | Core Physical Therapy, LLC | Physical Therapist | 535 E Main St, Evansville, WI 53536-1177 | 2010-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CORE PHYSICAL THERAPY, LLC | 443 Ne Knott St, Portland, OR 97212 |
| Street Address |
4616 HIGHWAY 84 W |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154596377 | Jessica Marling Clayton | Physical Therapist | 4616 Highway 84 W, Vidalia, LA 71373-3357 | 2008-04-29 |
| 1629693601 | Blakelynn Colclasure | Physical Therapist | 4616 Highway 84 W, Vidalia, LA 71373-3357 | 2020-06-15 |
| 1245870666 | Ellen Camille Bairnsfather | Physical Therapy Assistant | 4616 Highway 84 W, Vidalia, LA 71373-3357 | 2020-01-14 |
| 1043719040 | Lacey Ozburn | Physical Therapist | 4616 Highway 84 W, Vidalia, LA 71373-3357 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1609412097 | Hulin Urgent Care Services, LLC | Clinic/Center | 4319 Highway 84, Vidalia, LA 71373 | 2019-11-21 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1053766410 | Erin Fournet Woodruff | Physical Therapist | 402 Holly Street, Vidalia, LA 71373 | 2016-05-04 |
| 1184084113 | Troy Nolan Thomas Jr. | Counselor | 4012 Carter St., Vidalia, LA 71373 | 2016-03-03 |
| Find all providers in zip 71373 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 CORE 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.