Active NPI
Bryan Joseph Ladislas, DPT
- Physical Therapist
- Hoover, AL
National Provider Identifier
1972944122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH7643
- Practice address
- 2949 John Hawkins Pkwy
Hoover, AL 35244-1095 - Phone
- (205) 396-1530
- Fax
- (205) 396-1535
- NPI assigned
- Jul 16, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | PTL.0011451 | CO | |
| Physical Therapist | 225100000X | PTH7643 | AL | Primary |
Addresses
Primary practice location
2949 John Hawkins Pkwy
Hoover, AL 35244-1095
Mailing address
2949 John Hawkins Pkwy
Hoover, AL 35244-1095
Phone (205) 396-1530
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 |
|---|---|---|---|
| PTL.0011451 | CO | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1972944122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2949 JOHN HAWKINS PKWY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352441095",
"telephone_number": "205-396-1530",
"fax_number": "205-396-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2949 JOHN HAWKINS PKWY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352441095",
"telephone_number": "205-396-1530",
"fax_number": "205-396-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADISLAS",
"first_name": "BRYAN",
"middle_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "CO",
"license": "PTL.0011451",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH7643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.