Provider Demographics
NPI:1225602865
Name:EMERGE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:EMERGE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:TREUIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-233-7977
Mailing Address - Street 1:9600 FLORIDA BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-1110
Mailing Address - Country:US
Mailing Address - Phone:225-831-3060
Mailing Address - Fax:225-831-9706
Practice Address - Street 1:9600 FLORIDA BLVD STE 3
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-1110
Practice Address - Country:US
Practice Address - Phone:225-831-3060
Practice Address - Fax:225-831-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty