Function First Physical Therapy, Llc - Medicare Physical Therapist in Shreveport, LA

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Function First Physical Therapy, Llc is a medicare enrolled "Physical Therapist - Geriatrics" provider in Shreveport, Louisiana. Their current practice location is 7607 Fern Ave Ste 704, Shreveport, Louisiana. You can reach out to their office (for appointments etc.) via phone at (318) 828-1450.

Function First Physical Therapy, Llc is licensed to practice in Louisiana (license number 08117) and it also participates in the medicare program. Function First Physical Therapy, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114430071.

Contact Information

Function First Physical Therapy, Llc
7607 Fern Ave Ste 704,
Shreveport, LA 71105-5744
(318) 828-1450
(318) 828-2697

Map and Direction




Healthcare Provider's Profile

Full NameFunction First Physical Therapy, Llc
TypeFacility
SpecialityPhysical Therapist - Geriatrics
Location7607 Fern Ave Ste 704, Shreveport, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114430071
  • Provider Enumeration Date: 11/13/2017
  • Last Update Date: 07/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961763768
  • Enrollment ID: O20180219000133

Medical Identifiers

Medical identifiers for Function First Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114430071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 08117 (Louisiana)Secondary
2251G0304XPhysical Therapist - Geriatrics 08117 (Louisiana)Primary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Function First Physical Therapy, Llc acts as a billing entity for following providers:
Provider NameGregory Kyle Kintzing
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316303399
PECOS PAC ID: 4789945585
Enrollment ID: I20180219000187
Provider NameErnest W Carpenter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235636226
PECOS PAC ID: 0244594364
Enrollment ID: I20180425002460
Provider NameKeith Crnkovic
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528684891
PECOS PAC ID: 9335562636
Enrollment ID: I20200706000129
Provider NameJill Frost
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1710587886
PECOS PAC ID: 1052722139
Enrollment ID: I20201120001004
Provider NameDenise R Gerrity
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346826393
PECOS PAC ID: 4789092040
Enrollment ID: I20210427000041
Provider NameTara Lindsey Barnes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629250824
PECOS PAC ID: 1759784200
Enrollment ID: I20210722000027
Provider NameMorgan Spence Alford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659943801
PECOS PAC ID: 7315342136
Enrollment ID: I20210817002851
Provider NameJohn Nikko Gabuya Mangaoang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366163214
PECOS PAC ID: 6901281336
Enrollment ID: I20220920003649
Provider NameKrisha Andrea Holland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043903834
PECOS PAC ID: 1759742604
Enrollment ID: I20230725003418
Provider NameSydney Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013537943
PECOS PAC ID: 3678985165
Enrollment ID: I20240924002110
Provider NameAlissa Diaz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1124992383
PECOS PAC ID: 6800383050
Enrollment ID: I20251013002934
Provider NameJordan Hope Benson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1457221467
PECOS PAC ID: 3072006873
Enrollment ID: I20251201002333

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Function First Physical Therapy, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Function First Physical Therapy, Llc
7607 Fern Ave Ste 704,
Shreveport, LA 71105-5744

Ph: (318) 828-1450		Function First Physical Therapy, Llc
7607 Fern Ave Ste 704,
Shreveport, LA 71105-5744

Ph: (318) 828-1450

Reviews and Comments


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Suzannah Kathryn York - Crump, PT
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Anna Means Moore, PT, DPT, OCS
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Phone: 318-222-7442    Fax: 318-424-4751

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.