Individual provider Active NPI

Richard Clayton O'Quinn, PT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1104125624
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01408 Issued in LA
Practice address
13111 Hooper Rd
Baton Rouge, LA 70818-3522
Phone
(225) 261-7094
Fax
(225) 261-7095
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 01408 LA Primary

Addresses

Primary practice location

13111 Hooper Rd
Baton Rouge, LA 70818-3522

Mailing address

13111 Hooper Rd
Baton Rouge, LA 70818-3522
Phone (225) 261-7094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000868 LA Practitioner - Physical Therapist in Private Practice 8628252913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SW Corbin Enterprises LLCGroup PAC ID 6406044387, 2 clinicians

Practice addresses (Care Compare)

7417 Jefferson Hwy
Baton Rouge, LA 70806-8205
Phone (225) 924-3989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01408LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SW Corbin Enterprises LLC CurrentSince Jan 6, 2026 Accepting new patients
Central Rehab Clinic Inc Physical Therapist CurrentSince Apr 1, 2011 Accepting new patients
SWC Medical, LLC CurrentSince Jun 1, 2025 Accepting new patients
Central Rehab Clinic LLC Physical Therapist PastSince Apr 1, 2011 Accepting new patients

Locations

8346 Kelwood Ave
Baton Rouge, LA 70806
Phone (225) 400-9004

13111 Hooper Rd
Baton Rouge, LA 70818
Phone (225) 261-7094

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1104125624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 HOOPER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183522",
            "telephone_number": "225-261-7094",
            "fax_number": "225-261-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 HOOPER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183522",
            "telephone_number": "225-261-7094",
            "fax_number": "225-261-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'QUINN",
        "first_name": "RICHARD",
        "middle_name": "CLAYTON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.