NPIMap

Organization Active NPI

Physical Therapy of Baton Rouge, Inc

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1215028618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00619 Issued in LA
Legal business name
PHYSICAL THERAPY OF BATON ROUGE, INC
Practice address
2645 Oneal Lane BLDG C
Ste D
Baton Rouge, LA 70816-3179
Phone
(225) 751-3696
Fax
(225) 751-3697
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lorrain Mackay, P.T.NPI 1427121409
Title
Owner
Phone
(225) 751-3696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 01455F LA
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 00619 LA Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 00356 LA
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 02040F LA

Addresses

Primary practice location

2645 Oneal Lane BLDG C
Ste D
Baton Rouge, LA 70816-3179

Mailing address

2645 Oneal Lane BLDG C
Ste D
Baton Rouge, LA 70816-3179
Phone (225) 751-3696

Other identifiers 1

IdentifierTypeStateIssuer
F6968OtherLABLUE CROSS OF

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215028618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 ONEAL LANE BLDG C",
            "address_2": "STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163179",
            "telephone_number": "225-751-3696",
            "fax_number": "225-751-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 ONEAL LANE BLDG C",
            "address_2": "STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163179",
            "telephone_number": "225-751-3696",
            "fax_number": "225-751-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF BATON ROUGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "LORRAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-751-3696",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01455F",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00619",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00356",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02040F",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF",
            "identifier": "F6968",
            "state": "LA"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.