Active NPI
Brandon Dale Callais, DPT
- Physical Therapist
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07995
- Practice address
- 200N Military Rd
Slidell, LA 70461-1624 - Phone
- (985) 641-2996
- NPI assigned
- Jan 28, 2011
- 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 | 07995 | LA | Primary |
Addresses
Primary practice location
200N Military Rd
Slidell, LA 70461-1624
Mailing address
200N Military Rd
Slidell, LA 70461-1624
Phone (985) 641-2996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2040 Gause Blvd E
Suite 6
Slidell, LA 70461-5453
Phone (985) 201-8075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07995 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bennett Physical Therapy, LLC | Current | Accepting new patients | |
| Physiofit Louisiana LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
64167 Highway 41
Ste A
Pearl River, LA 70452
Phone (985) 250-9727
2965 Gause Blvd E
Slidell, LA 70461
Phone (985) 231-6475
2040 Gause Blvd E
Ste 6
Slidell, LA 70461
Phone (985) 201-8075
200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029
4038 Pontchartrain Dr
Slidell, LA 70458
Phone (985) 641-2996
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.
-
- Physical Therapy Clinic/Center
- Pearl River, LA
- NPI 1598308884
-
- Physical Therapist
- Slidell, LA
- NPI 1376180620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1972809622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200N MILITARY RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704611624",
"telephone_number": "985-641-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200N MILITARY RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704611624",
"telephone_number": "985-641-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAIS",
"first_name": "BRANDON",
"middle_name": "DALE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-28",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.