Healthcare Provider Details

I. General information

NPI: 1073421137
Provider Name (Legal Business Name): EDWARD SYKES III PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 BELLE CHASSE HWY
TERRYTOWN LA
70056-7056
US

IV. Provider business mailing address

107 FORT JACKSON ST
BELLE CHASSE LA
70037-2509
US

V. Phone/Fax

Practice location:
  • Phone: 504-362-1000
  • Fax: 504-584-7747
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12526
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: