Provider Demographics
NPI:1215003439
Name:SILVESTRI, JAMES EDWARD (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EDWARD
Last Name:SILVESTRI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 DEER CROSS CT E
Mailing Address - Street 2:THE NEXT LEVEL PERFORMANCE AND REHABILITATION CENTERLLC
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-3338
Mailing Address - Country:US
Mailing Address - Phone:985-898-0721
Mailing Address - Fax:985-898-0725
Practice Address - Street 1:610 DEER CROSS CT E
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-3338
Practice Address - Country:US
Practice Address - Phone:985-898-0721
Practice Address - Fax:985-898-0725
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA01420225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5DD23OtherCLINIC PTAN NUMBER
LA1649455312OtherMEDICARE CLINIC NPI NUMBER
LA5DD23OtherCLINIC PTAN NUMBER