BAYOU STATE THERAPY (NPI# 1811133093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811133093 |
| Entity Type | Organization |
| Organization Name | BAYOU STATE THERAPY |
| Practice Address |
457 Ashley Ridge Blvd Ste B Shreveport LA 71106-7229 |
| Practice Telephone | 3182197737 |
| Practice Fax Number | 3182197739 |
| Mailing Telephone | 3182197737 |
| Mailing Fax Number | 3182197739 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2009-03-12 |
| Authorized Official Name | KEVIN T SOWELL (PT/OWNER) |
| Authorized Official Telephone | 3182197737 |
| 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 |
03183 | LA | Ambulatory Health Care Facilities |
| Street Address |
457 ASHLEY RIDGE BLVD STE B |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-7229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326163130 | Kevin Thomas Sowell | Physical Therapist | 457 Ashley Ridge Blvd Ste B, Shreveport, LA 71106-7229 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142024 | Resilience Concierge Physical Therapy | Clinic/Center | 609 Woodmere Dr, Shreveport, LA 71115-3815 | 2020-01-06 |
| 1104385095 | Injurymd, LLC | Clinic/Center | 1715 Marycrest Ave Ste 200, Shreveport, LA 71101-5074 | 2019-03-19 |
| 1962825331 | Red River Recovery & Physical Therapy | Clinic/Center | 2539 E. 70th St, Shreveport, LA 71105 | 2014-01-21 |
| 1538451851 | Specialists Hospital of Louisiana | Clinic/Center | 1500 Line Ave Ste 105, Shreveport, LA 71101-4639 | 2011-05-04 |
| 1326099540 | Tri-state Physical Therapy Number 1 Inc | Clinic/Center | 8660 Fern Ave Ste 160, Shreveport, LA 71105-5694 | 2006-05-12 |
| 1053362202 | Tri-state Physical Therapy #6 Inc | Clinic/Center | 1610 E Bert Kouns Loop, Shreveport, LA 71105-5717 | 2006-05-12 |
| 1477709681 | Brewer Physical Therapy & Associates LLC | Clinic/Center | 663 Jordan St, Shreveport, LA 71101-4748 | 2008-08-07 |
| 1275790396 | Select Physical Therapy Holdings Inc | Clinic/Center | 820 Jordan St, Ste 370, Shreveport, LA 71101-4518 | 2008-05-16 |
| 1386705036 | Promoting Livelihood and Ability In Youth Physical Therapy LLC | Clinic/Center | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2006-12-13 |
| 1982655130 | Tri-state Physical Therapy #5 Inc | Clinic/Center | 2120 Bert Kouns Loop, Suite B, Shreveport, LA 71118-3351 | 2006-05-12 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on BAYOU STATE THERAPY.
| 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.