Active NPI
Blake Lagrange, MOT
- Occupational Therapist
- Baton Rouge, LA
National Provider Identifier
1124458070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.200470
- Practice address
- 5238 Dijon Dr
Baton Rouge, LA 70808-4311 - Phone
- (225) 906-4097
- Fax
- (225) 650-2357
- NPI assigned
- Nov 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT.200470 | LA | Primary |
Addresses
Primary practice location
5238 Dijon Dr
Baton Rouge, LA 70808-4311
Mailing address
5238 Dijon Dr
Baton Rouge, LA 70808-4311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.200470 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1124458070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5238 DIJON DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5238 DIJON DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084311",
"telephone_number": "225-906-4097",
"fax_number": "225-650-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGRANGE",
"first_name": "BLAKE",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.200470",
"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 Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.