Provider Demographics
NPI:1306842257
Name:ORTHOPTIC'S INC.
Entity Type:Organization
Organization Name:ORTHOPTIC'S INC.
Other - Org Name:ORTHOPTIC REHAB CLINIC OF METAINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:504-885-9125
Mailing Address - Street 1:3939 HOUMA BLVD
Mailing Address - Street 2:BLDG 5, SUITE 17
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2921
Mailing Address - Country:US
Mailing Address - Phone:504-885-9121
Mailing Address - Fax:504-885-0322
Practice Address - Street 1:3939 HOUMA BLVD
Practice Address - Street 2:BLDG 5, SUITE 17
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2921
Practice Address - Country:US
Practice Address - Phone:504-885-9121
Practice Address - Fax:504-885-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA407717225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
650017829OtherMEDICARE RAILROAD
F2907OtherBCBS OF LOUISIANA
173698100OtherIDS
650017829OtherMEDICARE RAILROAD