Individual provider Active NPI

Brieanna Dewil

  • Physical Therapist
  • Leesville, LA
National Provider Identifier
1003591710
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9058 Shreveport Hwy
Leesville, LA 71446-1812
Phone
(337) 239-3460
NPI assigned
Jun 20, 2023
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9058 Shreveport Hwy
Leesville, LA 71446-1812

Mailing address

9058 Shreveport Hwy
Leesville, LA 71446-1812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127002328 LA Practitioner - Physical Therapist in Private Practice 2961862362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quad C Physical Therapy LLCGroup PAC ID 8325361066, 5 clinicians

Practice addresses (Care Compare)

9058 Shreveport Hwy
Leesville, LA 71446-1812
Phone (337) 239-3460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quad C Physical Therapy LLC Physical Therapist CurrentSince Aug 26, 2023 Accepting new patients
Quad C Physical Therapy LLC CurrentSince Aug 26, 2023 Accepting new patients
Quad C Physical Therapy LLC Past Accepting new patients

Locations

9058 Shreveport Hwy
Leesville, LA 71446
Phone (337) 239-3460

326 Fisher Rd
Many, LA 71449
Phone (318) 256-0660

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1003591710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9058 SHREVEPORT HWY",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714461812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9058 SHREVEPORT HWY",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714461812",
            "telephone_number": "337-239-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWIL",
        "first_name": "BRIEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.