BRITTANY DALE (NPI# 1053824615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053824615 |
| Entity Type | Individual |
| Full Name | BRITTANY DALE |
| Practice Address |
340 Falconer Dr Covington LA 70433-8204 |
| Practice Telephone | 9858922845 |
| Practice Fax Number | 9858922654 |
| Mailing Telephone | 9858922845 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
09833 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE | 5CP75 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568628089 | Brittany Ann Dale | Psychologist | 526 N Martin Ave, Muncie, IN 47303-3537 | 2008-08-04 |
| Street Address |
340 FALCONER DR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-8204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578518064 | Matthew Edward Slimming | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2006-05-23 |
| 1346860251 | Heather Rietschel | Speech-Language Pathologist | 340 Falconer Dr, Covington, LA 70433-8204 | 2020-04-21 |
| 1467900654 | Star Physical Therapy Noe | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2016-09-15 |
| 1750723508 | Heather Jones Seal | Speech-Language Pathologist | 340 Falconer Dr, Covington, LA 70433-8204 | 2013-07-22 |
| 1316384738 | Kimberly S Collins | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2013-05-24 |
| 1205187952 | Chancie Morace | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2012-09-20 |
| 1457642258 | Angelle L Ream | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2011-04-27 |
| 1619296704 | Miles John Becnel Jr. | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2010-05-28 |
| 1942455662 | Rachel Emmons Henderson | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2008-11-21 |
| 1730337007 | Jessica Canales Melancon | Physical Therapist | 340 Falconer Dr, Covington, LA 70433-8204 | 2008-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780006031 | Brandy Dodge | Physical Medicine & Rehabilitation | 4181 Hospital Dr Ne Ste 204, Covington, GA 30014-2541 | 2014-01-06 |
| 1932423951 | Nicholas Paul Goyeneche | Physical Medicine & Rehabilitation | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2010-03-19 |
| 1598831943 | Anthony Phillip Miller | Physical Medicine & Rehabilitation | 1010 S Polk St, Suite 2, Covington, LA 70433-2474 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062729 | Maria Berthiaume | Physical Medicine & Rehabilitation | Lsu Broussard Center for Athletic Training, Baton Rouge, LA 70803-0001 | 2019-06-14 |
| 1588086318 | Joseph Marino Jr. | Physical Medicine & Rehabilitation | 311 Tournament Blvd, Berwick, LA 70342-2025 | 2014-01-14 |
| 1922667641 | Hannah Roudebush | Physical Medicine & Rehabilitation | Lsu Athletic Administration Building, Baton Rouge, LA 70803-0001 | 2019-06-06 |
| 1952887028 | Ryan Guillot | Physical Medicine & Rehabilitation | 504 Rue De Sante, La Place, LA 70068-5418 | 2018-07-12 |
| 1578073961 | Samantha Kenzie Bequette | Physical Medicine & Rehabilitation | 5620 Read Blvd, New Orleans, LA 70127-3106 | 2017-10-11 |
| 1104342385 | Justin Alexander Rohrman | Physical Medicine & Rehabilitation | 308 Warhawk Way, Monroe, LA 71203 | 2017-08-18 |
| 1760906333 | Damion Spillman | Physical Medicine & Rehabilitation | 733 Keyser Ave Ste 100, Natchitoches, LA 71457-0039 | 2017-07-26 |
| 1154704724 | Victoria Hamby | Physical Medicine & Rehabilitation | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2015-07-01 |
| 1104262617 | Chad Frederickson | Physical Medicine & Rehabilitation | Infirmary Rd, Baton Rouge, LA 70803-2401 | 2013-05-13 |
| 1770690984 | Felicia Denise Sankey | Physical Medicine & Rehabilitation | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2006-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.