Active NPI
Bradley N Johnson, PHYSCIAL THERAPIST
- Physical Therapist
- Plain Dealing, LA
National Provider Identifier
1790781516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04136
- Practice address
- 309 S Louisiana St
Plain Dealing, LA 71064-3431 - Phone
- (318) 326-7120
- Fax
- (318) 326-7120
- NPI assigned
- Jun 27, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 | 04136 | LA | Primary |
Addresses
Primary practice location
309 S Louisiana St
Plain Dealing, LA 71064-3431
Mailing address
3838 Old Plain Dealing Rd
Plain Dealing, LA 71064-3424
Phone (318) 326-5102
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04136 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790781516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 OLD PLAIN DEALING RD",
"city": "PLAIN DEALING",
"state": "LA",
"postal_code": "710643424",
"telephone_number": "318-326-5102",
"fax_number": "318-326-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S LOUISIANA ST",
"city": "PLAIN DEALING",
"state": "LA",
"postal_code": "710643431",
"telephone_number": "318-326-7120",
"fax_number": "318-326-7120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRADLEY",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "PHYSCIAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "04136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plain Dealing, LA
- Exquisite Care Services LLC (Exquisite Care Services)
- Christi Angelle Fontenot, RPH
- Nakia Harris, CPT
- Carrie A Heaberlin
- Donya Jackson
- Roydarius Johnson
- Kelly Pharmacy Inc Kelly Pharmacy & Gifts (Kelly Pharmacy)
- Stacy Cheyenne Lennard, PHARMD
- Jemena Bernadette Kahealani Leopoldo-Hodge
- Martin Family Support Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.