FUNCTION FIRST PHYSICAL THERAPY, LLC
NPI 1114430071
Physical Therapist - Geriatrics in Shreveport, LA

Active since November 13, 2017
7607 FERN AVE STE 704, SHREVEPORT, LA 71105(318) 828-1450(318) 828-2697 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2020, May 27, 2019, Nov 6, 2018 and 1 more (4 updates tracked since 2017).

About Function First Physical Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTION FIRST PHYSICAL THERAPY, LLC (NPI 1114430071) is a healthcare organization registered as a geriatrics in Shreveport, Louisiana and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Bossier City and lists Gregory Kyle Kintzing, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114430071
Entity TypeOrganization
Primary Taxonomy2251G0304X
Legal Business NameFUNCTION FIRST PHYSICAL THERAPY, LLC
Location Address7607 FERN AVE STE 704Shreveport, LA 71105-5744
Mailing Address7607 Fern Ave Ste 704Shreveport, LA 71105-5744 · (318) 828-1450 · Fax (318) 828-1450
Fax(318) 828-2697
Organization SubpartNo
Authorized OfficialGregory Kyle KintzingCeo · (318) 828-1450
Enumeration DateNovember 13, 2017
Last NPPES UpdateJuly 15, 20204 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
NPI 1114430071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License Licensed in LA · 08117
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

Also ListedPhysical TherapistTaxonomy 225100000X · License 08117 (LA)
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
7607 FERN AVE STE 704, Shreveport, LA 71105

Secondary Practice Location 1

Location 12122 Airline Dr Ste 200Bossier City, LA 71111-3270 · Phone (318) 828-1450 · Fax (318) 828-2697

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
7607 FERN AVE STE 704
SHREVEPORT, LA 71105
Speech-Language Pathologist
7607 FERN AVE STE 704
SHREVEPORT, LA 71105
Physical Therapist
7607 FERN AVE STE 704
SHREVEPORT, LA 71105
Physical Therapist
7607 FERN AVE STE 704
SHREVEPORT, LA 71105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114430071, enumerated as an "organization" on November 13, 2017.

The provider is located at 7607 FERN AVE STE 704 SHREVEPORT, LA 71105 and the phone number is (318) 828-1450.

Physical Therapist with taxonomy code 2251G0304X and a focus in Geriatrics.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.