VICTORY PHYSICAL THERAPY & REHAB CLINIC (NPI# 1760533483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760533483 |
| Entity Type | Organization |
| Organization Name | VICTORY PHYSICAL THERAPY & REHAB CLINIC |
| Practice Address |
6554 Florida Blvd Suite 119 Baton Rouge LA 70806-4474 |
| Mailing Address |
Po Box 45985 Baton Rouge LA 70895-4985 |
| Practice Telephone | 2252480085 |
| Practice Fax Number | 2252480086 |
| Mailing Telephone | 2252480085 |
| Mailing Fax Number | 2252480086 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | MR. AYODEJI O FAMUYIDE (DIRECTOR) |
| Authorized Official Telephone | 2252480085 |
| Authorized Official Credential | M.ED, P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
6554 FLORIDA BLVD SUITE 119 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225013394 | Lak Medical Supplies and Services Inc. | Durable Medical Equipment & Medical Supplies | 6554 Florida Blvd, Suite 246-d, Baton Rouge, LA 70806-4474 | 2005-12-13 |
| 1871917815 | Chester L Cador Counseling and Substance Abuse | Counselor | 6554 Florida Blvd, Ste. 238, Baton Rouge, LA 70806-4474 | 2014-02-11 |
| 1720349111 | Chester L. Cador | Counselor | 6554 Florida Blvd, Suite 238, Baton Rouge, LA 70806-4474 | 2012-06-02 |
| 1104158385 | Global Hope Community Enterprises,inc | In Home Supportive Care | 6554 Florida Blvd, Suie238, Baton Rouge, LA 70806-4474 | 2010-02-12 |
| 1376871798 | Global Hope Community Healthcare | In Home Supportive Care | 6554 Florida Blvd, Suite 238, Baton Rouge, LA 70806-4474 | 2009-11-23 |
| 1720256662 | Vasocare LLC | Durable Medical Equipment & Medical Supplies | 6554 Florida Blvd, Suite 123, Baton Rouge, LA 70806-4474 | 2008-02-13 |
| 1215119995 | Rms Care Providers Inc. | Hospice Care, Community Based | 6554 Florida Blvd, Baton Rouge, LA 70806-4474 | 2007-12-04 |
| 1215066402 | Care Management Alliance, Inc. | Technician | 6554 Florida Blvd, Suite 110, Baton Rouge, LA 70806-4474 | 2007-03-05 |
| 1124157318 | Care Management Alliance, Inc | Respite Care | 6554 Florida Blvd, Suite110, Baton Rouge, LA 70806-4474 | 2007-03-05 |
| 1306975503 | Care Management Alliance, Inc. | Case Manager/Care Coordinator | 6554 Florida Blvd, Suite 110, Baton Rouge, LA 70806-4474 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766961 | Louisiana Concierge Physical Therapy, LLC | Clinic/Center | 10710 Misty Vale Ave, Baton Rouge, LA 70810-3030 | 2020-09-29 |
| 1902378987 | Evolve Physical Therapy and Sports | Clinic/Center | 215 Staring Ln, Baton Rouge, LA 70810-4064 | 2019-01-01 |
| 1598213753 | Levins Physiotherapy | Clinic/Center | 3854 American Way, Baton Rouge, LA 70816-4013 | 2016-09-16 |
| 1295076917 | Prime Physical Therapy, LLC | Clinic/Center | 4606 Jones Creek Rd, Suite 150, Baton Rouge, LA 70817-1554 | 2013-03-05 |
| 1972840544 | Physicians' Choice Physical Therapy & Pain Center LLC | Clinic/Center | 3123 White Shadows Dr, Baton Rouge, LA 70816-3709 | 2013-01-15 |
| 1386906964 | Baton Rouge Orthopaedic Clinic, LLC | Clinic/Center | 9222 Burbank Dr, Baton Rouge, LA 70820-8612 | 2012-06-11 |
| 1811269483 | Physicians' Choice Physical Therapy Wbr, LLC | Clinic/Center | 8108 Picardy Ave, Baton Rouge, LA 70809-3514 | 2012-01-30 |
| 1326360074 | Mc2 Enterprises, LLC | Clinic/Center | 8100 Ymca Plaza Dr, Baton Rouge, LA 70810-0916 | 2010-02-23 |
| 1558599118 | Eclipse Wellness and Performance Center, LLC | Clinic/Center | 1735 Thomas H Delpit Dr, Baton Rouge, LA 70802-6633 | 2009-06-22 |
| 1982830337 | Mc2 Enterprises, LLC | Clinic/Center | 350 S Foster Dr, Baton Rouge, LA 70806-4105 | 2009-05-29 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on VICTORY PHYSICAL THERAPY & REHAB CLINIC.
| 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.