PHYSIOFIT LLC (NPI# 1689707564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689707564 |
| Entity Type | Organization |
| Organization Name | PHYSIOFIT LLC |
| Practice Address |
18641 Hwy 3235 Galliano LA 70354 |
| Mailing Address |
115 Johnny Dufrene Dr Raceland LA 70394-2611 |
| Practice Telephone | 9854754555 |
| Practice Fax Number | 9854754557 |
| Mailing Telephone | 9855329662 |
| Mailing Fax Number | 9855323942 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-12-28 |
| Authorized Official Name | RUTGERUS FJ 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 |
|---|---|---|---|---|
| 1598710121 | Physiofit LLC | Clinic/Center | 115 Johnny Dufrene Dr, Raceland, LA 70394-2611 | 2006-05-23 |
| 1659617116 | Physiofit LLC | Clinic/Center | 13554 Highway 3235, Suite B, Larose, LA 70373-3200 | 2013-01-02 |
| Street Address |
18641 HWY 3235 |
| City | GALLIANO |
| State | LA |
| Zip Code | 70354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215354014 | Teche Action Board, Inc. | Clinic/Center | 121 West 134th Place, Galliano, LA 70354 | 2014-03-19 |
| 1073740445 | Simone Bishop | Specialist/Technologist | 200 West 134th Street, Galliano, LA 70354 | 2009-06-12 |
| 1750414546 | Mitzi R. Brunet | Speech-Language Pathologist | 106 West 164 Street, Galliano, LA 70354 | 2007-03-13 |
| 1003961830 | Diane Marie Badeaux | Nurse Practitioner | 127 East 123 Rd Street, Galliano, LA 70354 | 2007-01-24 |
| 1275623712 | John Ray Bilello | Optometrist | 16759 Highway 3235, Store 502, Galliano, LA 70354 | 2006-10-13 |
| 1952492894 | Richard W Elliott | Chiropractor | 18598 W Main, Galliano, LA 70354 | 2006-09-27 |
| 1629096110 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 16759 Hwy 3235, Galliano, LA 70354 | 2006-07-17 |
| 1679028260 | Rachelle R Guidry | Nurse Practitioner | 121 West 134th Place, Galliano, LA 70354 | 2016-08-24 |
| 1164508560 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 16759 Hwy 3235, Galliano, LA 70354 | 2006-10-27 |
| 1578658779 | Dr Elliott Apcc | Chiropractor | 18598 W Main, Galliano, LA 70354-0907 | 2006-10-04 |
| Find all providers in zip 70354 | ||||
| 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.