Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathan James Aultman, PT

Individual provider Physical Therapist · NPI 1629692074

Nathan James Aultman, PT is a Physical Therapist in Private Practice in Shreveport, Louisiana. Qualified in 2020, 6 years ago. Practices with Melanie Massey Physical Therapy Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1800 Buckner St Ste C249
Shreveport, LA 71101-4447
Phone: (318) 934-1969
Fax: (318) 934-1960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10588 (LA)

Record details

NPI number1629692074
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing addressPo Box 1377, West Monroe, LA 71294-1377

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Melanie Massey Physical Therapy Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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