Provider Demographics
NPI:1083224703
Name:THE GR GROUP PT CHOICE CARE LLC
Entity Type:Organization
Organization Name:THE GR GROUP PT CHOICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJWANT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SOHI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CCCE
Authorized Official - Phone:504-920-2760
Mailing Address - Street 1:PO BOX 791356
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70179-1356
Mailing Address - Country:US
Mailing Address - Phone:504-920-2760
Mailing Address - Fax:888-852-7808
Practice Address - Street 1:3901 HOUMA BLVD STE 113
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2930
Practice Address - Country:US
Practice Address - Phone:504-463-9969
Practice Address - Fax:504-656-9505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA02097FOtherPHYSICAL THERAPY