Active NPI
Brandon Taylor Hale, DPT
- Physical Therapist
- Shreveport, LA
National Provider Identifier
1013848514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12371
- Practice address
- 650 Olive St
Shreveport, LA 71104-2210 - Phone
- (318) 302-6000
- NPI assigned
- May 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12371 | LA | Primary |
Addresses
Primary practice location
650 Olive St
Shreveport, LA 71104-2210
Mailing address
198 Northwood Dr
West Monroe, LA 71291-1673
Phone (318) 801-9304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12371 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riley Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Shreveport, LA
- NPI 1356814826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1013848514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 NORTHWOOD DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712911673",
"telephone_number": "318-801-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 OLIVE ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711042210",
"telephone_number": "318-302-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "BRANDON",
"middle_name": "TAYLOR",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "12371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.