Active NPI
Brenda Lynn Hazel, PHYSICAL THERAPIST
- Physical Therapist
- Lake Charles, LA
National Provider Identifier
1750107934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02603R
- Practice address
- 4080 Nelson Rd
Lake Charles, LA 70605-2439 - Phone
- (337) 494-7546
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02603R | LA | Primary |
Addresses
Primary practice location
4080 Nelson Rd
Lake Charles, LA 70605-2439
Mailing address
6905 Meadowview Loop
Lake Charles, LA 70605-0533
Phone (337) 515-8901
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02603R | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1750107934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6905 MEADOWVIEW LOOP",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706050533",
"telephone_number": "337-515-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 NELSON RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052439",
"telephone_number": "337-494-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEL",
"first_name": "BRENDA",
"middle_name": "LYNN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "02603R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Jordyn Hayes
- Kaitlyn Darby Hayes
- Patrick Charles Hayes, MD
- Claire Elizabeth Hays
- Ralph M Hays, APRN
- Headache and Wellness Center of Southwest Louisiana, LLC
- Healogics Specialty Physicians of Louisiana, LLC
- Health Associates of Lake Charles
- Healthsmart House Calls, LLC
- Healthy Soles Mobile Foot Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.