Provider Demographics
NPI:1245024330
Name:DENISE GERRITY PHYSICAL THERAPIST LLC
Entity type:Organization
Organization Name:DENISE GERRITY PHYSICAL THERAPIST LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERRITY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:318-408-1799
Mailing Address - Street 1:7054 CRESWELL RD
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-4713
Mailing Address - Country:US
Mailing Address - Phone:256-508-9129
Mailing Address - Fax:
Practice Address - Street 1:1935 E 70TH ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-0003
Practice Address - Country:US
Practice Address - Phone:318-408-1799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-05
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty