Healthcare Provider Details

I. General information

NPI: 1598774580
Provider Name (Legal Business Name): HEART REHAB INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

REILY RECREATION CENTER - TULANE UNIVERSITY MCALISTER EXTENSION
NEW ORLEANS LA
70118
US

IV. Provider business mailing address

REILY RECREATION CENTER - TULANE UNIVERSITY MCALISTER EXTENSION
NEW ORLEANS LA
70118
US

V. Phone/Fax

Practice location:
  • Phone: 504-861-9981
  • Fax: 504-861-9981
Mailing address:
  • Phone: 504-861-9981
  • Fax: 504-861-9981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. BRETT JOSEPH BERRY
Title or Position: PRESIDENT
Credential:
Phone: 504-861-9981