Provider Demographics
NPI:1720031222
Name:RAPIDES PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:RAPIDES PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:FORESTER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:318-445-4455
Mailing Address - Street 1:211 4TH ST
Mailing Address - Street 2:BOX 30112
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8421
Mailing Address - Country:US
Mailing Address - Phone:318-445-4455
Mailing Address - Fax:318-445-5574
Practice Address - Street 1:211 4TH ST
Practice Address - Street 2:BOX 30112
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8421
Practice Address - Country:US
Practice Address - Phone:318-445-4455
Practice Address - Fax:318-445-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA04559225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty