OrganizationActive
Function First Physical Therapy, LLC
NPI 1114430071 · Geriatric Physical Therapist · Shreveport, LA
Provider details
- NPI number
- 1114430071
- Entity type
- Organization
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Gregory Kintzing, Ceo(318) 828-1450
- License
- 08117 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
7607 Fern Ave Ste 704
Shreveport, LA 71105-5744
Phone: (318) 828-1450
Fax: (318) 828-2697
Approximate (ZIP-level) locationGet directions
Mailing address
7607 Fern Ave Ste 704
Shreveport, LA 71105-5744
Additional practice locations (1)
- 2122 Airline Dr Ste 200Bossier City, LA 71111-3270Phone: (318) 828-1450Fax: (318) 828-2697
Registry dates
- Enumerated
- 2017-11-13
- Last updated
- 2020-07-15
- Certified
- 2020-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.