Healthcare Provider Details

I. General information

NPI: 1598924649
Provider Name (Legal Business Name): JOSEPH SQUATRITO III DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2008
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4532 W NAPOLEON AVE STE 101
METAIRIE LA
70001-2469
US

IV. Provider business mailing address

4532 W NAPOLEON AVE STE 101
METAIRIE LA
70001-2469
US

V. Phone/Fax

Practice location:
  • Phone: 504-302-9700
  • Fax: 504-302-9800
Mailing address:
  • Phone: 504-302-9700
  • Fax: 504-302-9800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number07383
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: