Individual provider Active NPI

Sydney Field Tallis

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1730703885
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10622 Issued in LA
Practice address
714 Dublin St
New Orleans, LA 70118-1022
Phone
(504) 861-4693
Fax
(504) 865-8379
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10622 LA Primary

Addresses

Primary practice location

714 Dublin St
New Orleans, LA 70118-1022

Mailing address

714 Dublin St
New Orleans, LA 70118-1022
Phone (504) 861-4693

Other practice location 1

8400 W Judge Perez Dr Ste 9
Chalmette, LA 70043-1731
Phone (504) 861-4693

Other practice location 2

3759 Airline Dr Ste 104
Metairie, LA 70001-5835
Phone (504) 861-4693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630001873 LA Practitioner - Physical Therapist in Private Practice 0345663837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in New Orleans, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lovin' Life Physical Therapy, LLCGroup PAC ID 2163895533, 3 clinicians

Practice addresses (Care Compare)

3759 Airline Dr
Suite 104
Metairie, LA 70001-5835
Phone 50486146933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Physical Therapy of New Orleans L L C Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients
Lovin' Life Physical Therapy. LLC Physical Therapist CurrentSince Feb 20, 2023 Accepting new patients

Locations

8400 W Judge Perez Dr
Ste 9
Chalmette, LA 70043
Phone (504) 277-6052

3759 Airline Dr
Ste 104
Metairie, LA 70001
Phone (504) 861-4693

714 Dublin St
New Orleans, LA 70118
Phone (504) 861-4693

Organizations & group practices 2

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1730703885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 DUBLIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181022",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 DUBLIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181022",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 W Judge Perez Dr Ste 9",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "700431731",
            "country_code": "US",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3759 Airline Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700015835",
            "country_code": "US",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLIS",
        "first_name": "SYDNEY",
        "middle_name": "FIELD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10622",
            "primary": true
        }
    ],
    "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 Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.