# XTREME PHYSICAL THERAPY EAST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Xtreme Physical Therapy East
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265799761
- **Authorized official:** MR. BRIAN SIMPSON P.T. (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (504) 374-0015

## Contact information

- **Practice address:** 5555 BULLARD AVE, SUITE 102, NEW ORLEANS, LA 70128-3450
- **Practice address phone:** (504) 374-0015
- **Practice address fax:** (504) 374-0016
- **Mailing address:** 5555 BULLARD AVE, SUITE 102, NEW ORLEANS, LA 70128-3450
- **Mailing address phone:** (504) 374-0015
- **Mailing address fax:** (504) 374-0016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 01248 | LA | Yes |

## Other

- **Enumeration date:** 04/20/2012
- **Last updated:** 05/11/2012