Individual provider Active NPI

Brittany Dale Reynolds, PT, DPT

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1053824615
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09833 Issued in LA
Practice address
714 Dublin St
New Orleans, LA 70118-1022
Phone
(504) 861-4693
Fax
(504) 865-8379
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 09833 LA
Physical Therapist 225100000X 09833 LA Primary

Addresses

Primary practice location

714 Dublin St
New Orleans, LA 70118-1022

Mailing address

340 Falconer Dr
Covington, LA 70433-8204
Phone (985) 892-2845

Other practice location 1

713 Houma Blvd
Metairie, LA 70001-4730
Phone (504) 329-2990

Other practice location 2

3759 Airline Dr Ste 104
Metairie, LA 70001-5835
Phone (504) 861-4693

Other practice location 3

8400 W Judge Perez Dr Ste 9
Chalmette, LA 70043-1731
Phone (504) 861-4693

Other identifiers 2

IdentifierTypeStateIssuer
3049341MedicaidLA
5CP75OtherLAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180202000197 LA Practitioner - Physical Therapist in Private Practice 2567722929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lovin' Life Physical Therapy, LLCGroup PAC ID 2163895533, 3 clinicians
Orthopaedic Physical Therapy of New Orleans L L CGroup PAC ID 5991693061, 2 clinicians

Practice addresses (Care Compare)

3759 Airline Dr
Suite 104
Metairie, LA 70001-5835
Phone 50486146933

714 Dublin St
New Orleans, LA 70118-1022
Phone (504) 861-4693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09833LAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lovin' Life Physical Therapy. LLC Physical Therapist CurrentSince Mar 23, 2023 Accepting new patients
Orthopaedic Physical Therapy of New Orleans L L C Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients

Locations

8400 W Judge Perez Dr
Ste 9
Chalmette, LA 70043
Phone (504) 277-6052

3759 Airline Dr
Ste 104
Metairie, LA 70001
Phone (504) 861-4693

714 Dublin St
New Orleans, LA 70118
Phone (504) 861-4693

Organizations & group practices 2

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1053824615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FALCONER DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338204",
            "telephone_number": "985-892-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 DUBLIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181022",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Houma Blvd",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700014730",
            "country_code": "US",
            "telephone_number": "504-329-2990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3759 Airline Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700015835",
            "country_code": "US",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8400 W Judge Perez Dr Ste 9",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "700431731",
            "country_code": "US",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRITTANY",
        "middle_name": "DALE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "LA",
            "license": "09833",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3049341",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5CP75",
            "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 Mar 23, 2023; 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.