Provider Demographics
NPI:1598924649
Name:SQUATRITO, JOSEPH III (DPT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:SQUATRITO
Suffix:III
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4532 W NAPOLEON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-2469
Mailing Address - Country:US
Mailing Address - Phone:504-302-9700
Mailing Address - Fax:504-302-9800
Practice Address - Street 1:4532 W NAPOLEON AVE STE 101
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2469
Practice Address - Country:US
Practice Address - Phone:504-302-9700
Practice Address - Fax:504-302-9800
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07383225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA07383OtherLOUISIANA PHYSICAL THERAPY LICENSE