Individual provider Active NPI

Stephen Sylvester, RPT

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1053409938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00559 Issued in LA
Practice address
4298 Elysian Fields Ave
Ste. C.
New Orleans, LA 70122-3848
Phone
(504) 282-4406
Fax
(504) 282-4407
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00559 LA Primary

Addresses

Primary practice location

4298 Elysian Fields Ave
Ste. C.
New Orleans, LA 70122-3848

Mailing address

4298 Elysian Fields Ave
Ste. C.
New Orleans, LA 70122-3848
Phone (504) 282-4406

Other identifiers 3

IdentifierTypeStateIssuer
48257OtherLABLUE CROSS BLUE SHIELD
5245416OtherLAAETNA
1560308MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000102 LA Practitioner - Physical Therapist in Private Practice 2466535232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4298 Elysian Fields Ave
New Orleans, LA 70122-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gentilly Physical Therapy and Rehab Physical Therapist CurrentSince Mar 1, 2007 Accepting new patients

Locations

4298 Elysian Fields Ave
Ste C
New Orleans, LA 70122
Phone (504) 282-4406

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053409938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4298 ELYSIAN FIELDS AVE",
            "address_2": "STE. C.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223848",
            "telephone_number": "504-282-4406",
            "fax_number": "504-282-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4298 ELYSIAN FIELDS AVE",
            "address_2": "STE. C.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223848",
            "telephone_number": "504-282-4406",
            "fax_number": "504-282-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "STEPHEN",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48257",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5245416",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1560308",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.