Active NPI
Bradley Holstein, DPT
- Physical Therapist
- Metairie, LA
National Provider Identifier
1255980488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11040
- Practice address
- 4921 Airline Dr
Metairie, LA 70001-5664 - Phone
- (504) 889-2663
- NPI assigned
- Sep 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A9207 | LA | |
| Physical Therapist | 225100000X | 11040 | LA | Primary |
Addresses
Primary practice location
4921 Airline Dr
Metairie, LA 70001-5664
Mailing address
4921 Airline Dr
Metairie, LA 70001-5664
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A9207 | LA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Home Physical Therapy LLC | Current | 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.
-
- Orthopedic Physical Therapist
- Metairie, LA
- NPI 1982418166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1255980488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 AIRLINE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700015664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 AIRLINE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700015664",
"telephone_number": "504-889-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSTEIN",
"first_name": "BRADLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-10",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "LA",
"license": "A9207",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "11040",
"primary": true
}
],
"identifiers": [],
"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 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.