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

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 NameDaryl Bennet Tuminello
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1063919058
PECOS PAC ID: 7810251931
Enrollment ID: I20180425002330
Provider NameErnest W Carpenter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235636226
PECOS PAC ID: 0244594364
Enrollment ID: I20180425002460
Provider NameKeith Calvin 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 Rae Gerrity Joplin
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 NameCourtnie White
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255115937
PECOS PAC ID: 0648634808
Enrollment ID: I20230907000657
Provider NameAmanda Graham Spaw
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073392353
PECOS PAC ID: 7719332865
Enrollment ID: I20231010004163

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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