Organization
PG THERAPY LLC
Active
Organization
PG THERAPY LLC
Active
Parent organization
PERSEVERE CORP
Other names
FYZICAL Therapy & Balance Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERSEVERE CORP
Authorized official
MR. PATRICK JOHN GLEESON CISSP (GENERAL MANAGER)
(202) 455-6605
Entity
Organization
Contact information
Practice address
16172 AIRLINE HWY STE B, PRAIRIEVILLE, LA 70769-4212
(225) 255-4020
(225) 255-4024
Mailing address
9029 JEFFERSON HWY STE D-104, NEW ORLEANS, LA 70123-3500
(225) 255-4020
(225) 255-4024
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100125742
PEOPLESHEALTH
—
01
—
187466
UNITEDHEALTHCARE (OPTUM)
—
01
—
5281
CAQH
—
01
—
8819519
AETNA
—
Enumeration date
05/26/2022
Last updated
05/02/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up