Provider Demographics
NPI:1053852368
Name:RIPPETOE HEALTH
Entity Type:Organization
Organization Name:RIPPETOE HEALTH
Other - Org Name:BISHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:RIPPETOE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:318-560-5726
Mailing Address - Street 1:9735 AIELLO LN
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-7440
Mailing Address - Country:US
Mailing Address - Phone:318-560-5726
Mailing Address - Fax:
Practice Address - Street 1:717 CROCKETT ST
Practice Address - Street 2:STE 205
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-3605
Practice Address - Country:US
Practice Address - Phone:318-333-1331
Practice Address - Fax:318-625-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09574R2251X0800X
222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Single Specialty
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty