Individual provider Active NPI

Brittany Burdsall West, OT

  • Physical Medicine & Rehabilitation Physician
  • Saint Gabriel, LA
National Provider Identifier
1992342554
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OTT.200174 Issued in LA
Practice address
1300 Lawrence Pkwy
Saint Gabriel, LA 70776-5133
Phone
(225) 773-4962
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OTT.200174 LA Primary

Addresses

Primary practice location

1300 Lawrence Pkwy
Saint Gabriel, LA 70776-5133

Mailing address

35437 Oak Manor Ave
Geismar, LA 70734-3156
Phone (225) 773-4962

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TherapeuticStridesLLC

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

LicenseStateTypeSpecialty
OTT.200174LAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1992342554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35437 OAK MANOR AVE",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343156",
            "telephone_number": "225-773-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LAWRENCE PKWY",
            "city": "SAINT GABRIEL",
            "state": "LA",
            "postal_code": "707765133",
            "telephone_number": "225-773-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "BRITTANY",
        "middle_name": "BURDSALL",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "OTT.200174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapeuticStridesLLC",
            "affiliation": "N",
            "address_1": "35437 Oak Manor Ave",
            "city": "Geismar",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707343156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Gabriel, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.