Individual provider Active NPI

Whitney Fedor Braswell, DPT

  • Orthopedic Physical Therapist
  • New Orleans, LA
National Provider Identifier
1629317417
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
3434 Prytania St
Su 310
New Orleans, LA 70115-3532
Phone
(504) 309-5461
Fax
(504) 309-5460
NPI assigned
Feb 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X LA Primary
Physical Therapist 225100000X PTH6724 AL

Addresses

Primary practice location

3434 Prytania St
Su 310
New Orleans, LA 70115-3532

Mailing address

2701 Airline Dr Ste L
Metairie, LA 70001-7213
Phone (504) 324-8345

Other practice location 1

2701 Airline Dr Ste L
Metairie, LA 70001-7213
Phone (504) 324-8345

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapydia, Inc. Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
Agilitas USA Inc Physical Therapist Past Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

2701 Airline Dr
Ste L
Metairie, LA 70001
Phone (415) 533-4863

421 N Carrollton Ave
Ste 4
New Orleans, LA 70119
Phone (504) 224-9886

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1629317417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 AIRLINE DR STE L",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017213",
            "telephone_number": "504-324-8345",
            "fax_number": "504-734-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 PRYTANIA ST",
            "address_2": "SU 310",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153532",
            "telephone_number": "504-309-5461",
            "fax_number": "504-309-5460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Airline Dr Ste L",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700017213",
            "country_code": "US",
            "telephone_number": "504-324-8345",
            "fax_number": "504-734-8869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDOR BRASWELL",
        "first_name": "WHITNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.