Provider Demographics
NPI:1578305843
Name:THE RECOVERY ROOM, LLC
Entity type:Organization
Organization Name:THE RECOVERY ROOM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLITT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:985-228-6039
Mailing Address - Street 1:142 LAURA DR STE F
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-2988
Mailing Address - Country:US
Mailing Address - Phone:985-228-6039
Mailing Address - Fax:985-307-4110
Practice Address - Street 1:142 LAURA DR STE F
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-2988
Practice Address - Country:US
Practice Address - Phone:985-228-6039
Practice Address - Fax:985-307-4110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-08
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty