NPIMap

Organization Active NPI

Neuromuscular Medical Association, LLC

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
National Provider Identifier
1073649646
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NEUROMUSCULAR MEDICAL ASSOCIATION, LLC
Practice address
3001 19TH St
Metairie, LA 70002-4906
Phone
(504) 469-9641
Fax
(985) 340-7078
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Dana Brady
Title
Office Manager
Phone
(225) 224-8096

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Spinal Cord Injury Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0004X LA

Addresses

Primary practice location

3001 19TH St
Metairie, LA 70002-4906

Mailing address

3001 19TH St
Metairie, LA 70002-4906
Phone (504) 469-9641

Other practice location 1

16030 LaMonte Dr Ste A
Hammond, LA 70403-1404
Phone (985) 542-7177

Other practice location 2

18212 E Petroleum Dr Ste 6A
Baton Rouge, LA 70809-6134
Phone (225) 224-8096

Other identifiers 1

IdentifierTypeStateIssuer
1445185MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000010 LA Part B Supplier - Clinic/Group Practice 3173506631 Receives reassigned benefits from 3 practitioners
Practice locations: Baton Rouge, LA; Hammond, LA; Metairie, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2274471Neuromuscular Medical Associates, LLC18212 E Petroleum Dr, BLDG 6a, Baton Rouge, LA 70809AccreditationJul 31, 2027

National Provider Directory

National Provider Directory

Locations

18212 E Petroleum Dr
Ste 6A
Baton Rouge, LA 70809
Phone (225) 224-8096

42078 Veterans Ave
Ste G
Hammond, LA 70403
Phone (985) 542-7177

3001 19th St
Metairie, LA 70002
Phone (504) 469-9641

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1073649646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 19TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024906",
            "telephone_number": "504-469-9641",
            "fax_number": "985-340-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 19TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024906",
            "telephone_number": "504-469-9641",
            "fax_number": "985-340-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16030 LaMonte Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031404",
            "country_code": "US",
            "telephone_number": "985-542-7177",
            "fax_number": "985-340-7078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18212 E Petroleum Dr Ste 6A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708096134",
            "country_code": "US",
            "telephone_number": "225-224-8096",
            "fax_number": "985-340-7078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROMUSCULAR MEDICAL ASSOCIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-224-8096"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445185",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.