Brent Robertson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08652 Issued in LA

Practice address

900 Woodland Hwy
Belle Chasse, LA 70037-1633

Phone

(504) 628-8085

NPI assigned

Apr 7, 2014

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• BGM Group, LLC

  • Home Health Agency
  • Covington, LA
  • NPI 1821044165

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, General Partnership Interest, W-2 Managing Employee

  CMS ownership

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.

• Riverbend Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Metairie, LA
  • NPI 1427560721

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Comprehensive Therapy Clinics of Louisiana

  • Behavior Analyst
  • Covington, LA
  • NPI 1033993043

  Physical Therapist

  NPD Authorized official
• Rehab Access LLC

  • Hand Occupational Therapist
  • Metairie, LA
  • NPI 1699623298

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1699194647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WOODLAND HWY",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WOODLAND HWY",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371633",
            "telephone_number": "504-628-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BRENT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Liborio Ramirez Jr., PA-C
• Torie Jupiter Raymond
• Madison Reece Ready
• Chere Richards, LCSW, C-SSWS
• Riverbend Nursing and Rehabilitation Center Inc
• Haley Robinson, PLPC
• Shari Jenee Rodgers, MD
• Jake Joseph Rodi, M.D.
• Jesse Roessler, LPC NCC
• Marian Tesvich Rogers, PHARMD

• Physical Therapist in Belle Chasse, LA
• Providers in Belle Chasse, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.