Individual provider Active NPI

Lauren Elisabeth Talley, DPT

  • Physical Therapist
  • Metairie, LA
National Provider Identifier
1114535580
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10601 Issued in LA
Practice address
2620 Metairie Lawn Dr
Metairie, LA 70002-6107
Phone
(504) 841-0150
Fax
(504) 841-0180
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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 10601 LA Primary

Addresses

Primary practice location

2620 Metairie Lawn Dr
Metairie, LA 70002-6107

Mailing address

2620 Metairie Lawn Dr
Metairie, LA 70002-6107
Phone (504) 841-0150

Other identifiers 1

IdentifierTypeStateIssuer
10601OtherLAPROVISIONAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren@baudrytherrapy.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322000137 LA Practitioner - Physical Therapist in Private Practice 1254748171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baudry Therapy CenterGroup PAC ID 8729158365, 7 clinicians

Practice addresses (Care Compare)

2620 Metairie Lawn Dr
Metairie, LA 70002-6107
Phone (504) 841-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10601LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baudry Therapy Center CurrentSince Nov 22, 2020 Accepting new patients

Locations

2620 Metairie Lawn Dr
Metairie, LA 70002
Phone (504) 293-2454

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1114535580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "504-841-0150",
            "fax_number": "504-841-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "504-841-0150",
            "fax_number": "504-841-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "LAUREN",
        "middle_name": "ELISABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVISIONAL LICENSE",
            "identifier": "10601",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren@baudrytherrapy.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "2620 Metairie Lawn Dr",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700026107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.