Provider Demographics
NPI:1437294162
Name:NASTASI, ALBERT A (PT)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:A
Last Name:NASTASI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:9 STARBRUSH CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7246
Mailing Address - Country:US
Mailing Address - Phone:958-892-1103
Mailing Address - Fax:985-892-1889
Practice Address - Street 1:9 STARBRUSH CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7246
Practice Address - Country:US
Practice Address - Phone:958-892-1103
Practice Address - Fax:985-892-1889
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA03205225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4C973CJ22Medicare PIN