BRPT-Lake Rehabilitation Centers, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BRPT-LAKE REHABILITATION CENTERS, LLC

Practice address

503 Colonial Dr
Baton Rouge, LA 70806-6508

Phone

(225) 231-3800

Fax

(225) 231-3803

NPI assigned

Nov 17, 2005

Last updated

Sep 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melanie Gallegos Sr., CPA

Title

Chief Financial Officer

Phone

(225) 231-3814

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Our Lady of the Lake Hospital, Inc.

  dba Our Lady of the Lake Regional Medical Center

  • Psychiatric Hospital Unit
  • Baton Rouge, LA
  • NPI 1164419198

  Member Of

  NPD member

Locations

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dacia M Alexander, MA, CCC-SLP

  • Speech-Language Pathologist
  • Baton Rouge, LA
  • NPI 1326139205
  NPD (past)
• Cassie Aloisio, DPT

  • Physical Therapist
  • Gonzales, LA
  • NPI 1740120070
  NPD (past)
• Tyler Bird, PT

  • Physical Therapist
  • Gonzales, LA
  • NPI 1043135676
  NPD (past)
• Ashton Paul Blanchard, PT, DPT

  • Physical Therapist
  • Broussard, LA
  • NPI 1598439424
  NPD (past)
• Deborah D Bueche, LOTR, CHT

  • Occupational Therapist
  • Baton Rouge, LA
  • NPI 1578654430
  NPD (past)
• Jena Courville, PTA, ATC

  • Physical Therapy Assistant
  • Gonzales, LA
  • NPI 1851758817
  NPD (past)
• James Landon Crowder, PT, DPT

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1194249797
  NPD (past)
• Sadie Lane Dupre, PT, DPT

  • Physical Therapist
  • Gonzales, LA
  • NPI 1124699327
  NPD (past)
• Alicia P Dwyer, PT, DPT

  • Physical Therapist
  • Saint Francisville, LA
  • NPI 1003136359
  NPD (past)
• Rachael Feirman, PT, MPT

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1902997521
  NPD (past)
• Emma Grace Goldman, PT

  • Physical Therapist
  • Gonzales, LA
  • NPI 1427748698
  NPD (past)
• Gus Luis Gutierrez, PT, DPT,OCS, FAAOMPT

  • Orthopedic Physical Therapist
  • Gonzales, LA
  • NPI 1902997000
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1093797722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SHADOWS LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066530",
            "telephone_number": "225-927-9185",
            "fax_number": "225-231-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 COLONIAL DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066508",
            "telephone_number": "225-231-3800",
            "fax_number": "225-231-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRPT-LAKE REHABILITATION CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "225-231-3814",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Randall Browning, DDS
• Barbara Bennett Broyles, LCSW 3462
• Joseph E Broyles, MD
• Joseph N Broyles, MD
• Nancy H Broyles, LCSW
• Annadora Janet Bruce-Keller
• Indya Bruce
• Jada Bruce
• Michael Lynn Bruce, MD
• Norshern Bruce, FNP

• Physical Therapy Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.