LIFESPAN PHYSICAL THERAPY, LLC (NPI# 1700973054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700973054 |
| Entity Type | Organization |
| Organization Name | LIFESPAN PHYSICAL THERAPY, LLC |
| Practice Address |
5108 Hwy 56 Chauvin LA 70344 |
| Mailing Address |
Po Box 58 Chauvin LA 70344-0058 |
| Practice Telephone | 9855948332 |
| Practice Fax Number | 9855948389 |
| Mailing Telephone | 9855948332 |
| Mailing Fax Number | 9855948389 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | DR. IME E UDOM (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9855948332 |
| Authorized Official Credential | PT, DPT, PHD, FC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699195461 | Lifespan Physical Therapy, LLC | Physical Therapist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2014-04-21 |
| Street Address |
5108 HWY 56 |
| City | CHAUVIN |
| State | LA |
| Zip Code | 70344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881746766 | Ime Emerson Udom | Physical Therapist | 5108 Hwy 56, Chauvin, LA 70344-8316 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851595573 | David Leroy Cook | Dentist | 100 Johanna St, Chauvin, LA 70344 | 2007-06-14 |
| 1124125968 | Wolfes Pharmacy Inc | Pharmacy | 5458 Highway 56, Chauvin, LA 70344-3102 | 2006-09-20 |
| 1922509546 | Wolfe's Pharmacy | Pharmacy | 5458 Highway 56, Chauvin, LA 70344-3102 | 2018-02-28 |
| 1730278532 | Med Express of Chauvin A Medical LLC | Specialist | 5458 Highway 56, Suite A, Chauvin, LA 70344-3102 | 2006-10-12 |
| 1528437944 | Marlene Lapeyrouse | Student in an Organized Health Care Education/Training Program | 101 Leve St, Chauvin, LA 70344-3206 | 2015-09-15 |
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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|---|---|---|---|---|
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| 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 |
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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.