1720257116 NPI number — MRS. JAYMIE GARNER BAGGERMAN LOTR, CHT

Table of content: MRS. JAYMIE GARNER BAGGERMAN LOTR, CHT (NPI 1720257116)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720257116 NPI number — MRS. JAYMIE GARNER BAGGERMAN LOTR, CHT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAGGERMAN
Provider First Name:
JAYMIE
Provider Middle Name:
GARNER
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LOTR, CHT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GARNER
Provider Other First Name:
JAYMIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LOTR, CHT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1720257116
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/25/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5559 CANAL BLVD.
Provider Second Line Business Mailing Address:
CITY PARK PHYSICLA THERAPY LLC
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70124-2745
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-309-5811
Provider Business Mailing Address Fax Number:
504-309-5877

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5559 CANAL BLVD.
Provider Second Line Business Practice Location Address:
CITY PARK PHYSICAL THERAPY LLC
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70124-2745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-309-5811
Provider Business Practice Location Address Fax Number:
504-309-5877
Provider Enumeration Date:
02/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  OTT.Z12285 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: OTT.Z12285 . This is a "LSBME" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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