Xtreme Physical Therapy East

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01248 Issued in LA

Legal business name

XTREME PHYSICAL THERAPY EAST

Doing business as

Xtreme Physical Therapy East

Practice address

5555 Bullard Ave
Suite 102
New Orleans, LA 70128-3450

Phone

(504) 374-0015

Fax

(504) 374-0016

NPI assigned

Apr 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Brian Simpson, P.T.

Title

Physical Therapist/Owner

Phone

(504) 374-0015

Specialties & licenses 1

Addresses

Other names 1

• Xtreme Physical Therapy East Doing business as

Locations

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1265799761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 BULLARD AVE",
            "address_2": "SUITE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283450",
            "telephone_number": "504-374-0015",
            "fax_number": "504-374-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 BULLARD AVE",
            "address_2": "SUITE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283450",
            "telephone_number": "504-374-0015",
            "fax_number": "504-374-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME PHYSICAL THERAPY EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "504-374-0015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xtreme Physical Therapy East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Schultheis Wyatt, APRN
• Melville Q. Wyche III, MD
• Eileen M. Wynne, PH.D.
• Veronica Xia
• Xtreme Physical Therapy
• Yuhua Xue
• Jevin Yabut, DO
• Brooke Alexis Yacavone
• Snehaja Yadlapati
• Pamela K Yaeger, NNP

• Physical Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.