# NORTHEAST LOUISIANA PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255381976
- **Authorized official:** PROF. JASON RILEY PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (318) 728-3665

## Contact information

- **Practice address:** 161 CHRISTIAN DR, RAYVILLE, LA 71269-3658
- **Practice address phone:** (318) 728-3665
- **Practice address fax:** (318) 728-3625
- **Mailing address:** 161 CHRISTIAN DR, RAYVILLE, LA 71269-3658
- **Mailing address phone:** (318) 728-3665
- **Mailing address fax:** (318) 728-3625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 09/11/2025