Provider Demographics
NPI:1962459164
Name:ORTHOPAEDIC PHYSICAL THERAPY OF NEW ORLEANS L L C
Entity Type:Organization
Organization Name:ORTHOPAEDIC PHYSICAL THERAPY OF NEW ORLEANS L L C
Other - Org Name:FYZICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MACALUSO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:504-861-4693
Mailing Address - Street 1:714 DUBLIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-1022
Mailing Address - Country:US
Mailing Address - Phone:504-861-4693
Mailing Address - Fax:504-865-8379
Practice Address - Street 1:714 DUBLIN ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-1022
Practice Address - Country:US
Practice Address - Phone:504-861-4693
Practice Address - Fax:504-865-8379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CE54Medicare ID - Type Unspecified