Southern Rehabilitation Center
NPI 1124163506ActiveOrganization· Physical Therapist· Slidell, LA
Physical Therapist in Slidell, Louisiana, registered in NPPES in February 2007. The authorized official on file is Jena R. Bratton, PT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1124163506 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2007 |
| Last updated in NPPES | Feb 12, 2025 |
| Certified by provider | Feb 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (LA) |
|---|
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