PHYSIOFIT LLC (NPI# 1598710121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598710121 |
| Entity Type | Organization |
| Organization Name | PHYSIOFIT LLC |
| Practice Address |
115 Johnny Dufrene Dr Raceland LA 70394-2611 |
| Practice Telephone | 9855329662 |
| Practice Fax Number | 9855323942 |
| Mailing Telephone | 9855329662 |
| Mailing Fax Number | 9855323942 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-12-28 |
| Authorized Official Name | MR. RUTGERUS F J JONGBLOETS (OWNER) |
| Authorized Official Telephone | 9855329662 |
| 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 |
5233772 | LA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689707564 | Physiofit LLC | Clinic/Center | 18641 Hwy 3235, Galliano, LA 70354 | 2007-03-13 |
| 1659617116 | Physiofit LLC | Clinic/Center | 13554 Highway 3235, Suite B, Larose, LA 70373-3200 | 2013-01-02 |
| Street Address |
115 JOHNNY DUFRENE DR |
| City | RACELAND |
| State | LA |
| Zip Code | 70394-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598705162 | Kyle O Hotard | Occupational Therapist | 115 Johnny Dufrene Dr, Raceland, LA 70394-2611 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221798 | Caitlin Morris Bacon | Registered Nurse | 4244 Highway 1, Raceland, LA 70394 | 2019-02-13 |
| 1326571597 | Kakeisha Harris | Counselor | 144 Colvan St, Raceland, LA 70394 | 2017-04-05 |
| 1023468774 | Denise Taylor | Counselor | 4075 Hwy 1, Raceland, LA 70394 | 2016-06-14 |
| 1023471133 | Aubrey Orgeron | Psychiatry & Neurology | 111 Twin Oaks Dr., Raceland, LA 70394 | 2016-04-05 |
| 1114383239 | Michelle Rabb | Counselor | 3821 Hwy 1, Raceland, LA 70394 | 2016-01-05 |
| 1508221979 | Renisha Cecilia Oubre | Counselor | 3821 Highway 1, Raceland, LA 70394 | 2015-12-29 |
| 1922463983 | Kiaria Gray | Case Manager/Care Coordinator | 3821 La-1, Raceland, LA 70394 | 2015-12-17 |
| 1285068098 | Don A Falgout | Nurse Anesthetist, Certified Registered | 4608 Hwy 1, Raceland, LA 70394 | 2013-08-28 |
| 1215211933 | Dalton Joseph Boudreaux Jr. | Pharmacist | 4572 Hwy One, Raceland, LA 70394 | 2011-09-29 |
| 1790065746 | Cheri Lasseigne | Chiropractor | 108 Acadia Dr., Raceland, LA 70394 | 2011-08-23 |
| Find all providers in zip 70394 | ||||
| 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 | ||||
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| 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.