Brian Dyess, P.T.

Individual provider Active NPI Physical Therapist · Metairie, LA

NPI 1376971887 · NPPES record last updated Oct 18, 2013

Key facts

NPI
1376971887
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
08702R (LA)
Practice address
3017 Veterans Memorial Blvd
Metairie, LA 70002-6046
Phone
(504) 828-0880
NPI assigned
Oct 18, 2013
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Flex Rehabilitation & Consulting, LLC Physical Therapist Past
since Dec 9, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 08702R LA Yes

Addresses

Primary practice location

3017 Veterans Memorial Blvd
Metairie, LA 70002-6046

Mailing address

1205 Saint Charles Ave Apt 505
New Orleans, LA 70130-8405
Phone (601) 415-3929

Other providers in Metairie, LA

All providers in Metairie, LA · Physical Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.