# PRIME PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1295076917
- **Authorized official:** TRINITY PURVIS SALTER PT, DMT (PHYSICAL THERAPY/OWNER)
- **Authorized official phone:** (225) 388-5534

## Contact information

- **Practice address:** 14608 S HARRELLS FERRY RD, BATON ROUGE, LA 70816-2926
- **Practice address phone:** (225) 388-5534
- **Practice address fax:** (225) 388-5537
- **Mailing address:** 4606 JONES CREEK RD, SUITE 150, BATON ROUGE, LA 70817-1554
- **Mailing address phone:** (225) 388-5534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 06937 | LA | — |

## Other

- **Enumeration date:** 03/05/2013
- **Last updated:** 08/21/2023
