Brandon Soileau, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

10909 Issued in LA

Practice address

4080 Nelson Rd Ste 500
Lake Charles, LA 70605-2440

Phone

(337) 494-7546

Fax

(337) 494-7548

NPI assigned

Jun 2, 2021

Last updated

Jun 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Potential Physical Therapy IncGroup PAC ID 9436381811, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Action Potential Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Lake Charles, LA
  • NPI 1396800587

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Action Potential Physical Therapy - Moss Bluff, LLC

  • Physical Therapy Clinic/Center
  • Lake Charles, LA
  • NPI 1912843855
  NPD (past)

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1144896846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2188",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706022188",
            "telephone_number": "337-494-7546",
            "fax_number": "337-494-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 NELSON RD STE 500",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052440",
            "telephone_number": "337-494-7546",
            "fax_number": "337-494-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOILEAU",
        "first_name": "BRANDON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "10909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Monticello Snider, M.D.
• Van A. Snider, M.D.
• Donald J Snow Jr., D.A.O.M
• James Eric Snow, D.C.
• Neima Sobhi, DDS
• Cameron Soileau, DC
• Curtis Wayne Soileau
• Danielle Cooke Soileau, PT, DPT
• Drew Patrick Soileau, DPT
• Earl John Soileau Jr., MD

• Physical Medicine & Rehabilitation Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Physical Medicine & Rehabilitation Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.