NPIMap

Organization Active NPI

Fyzical of Baton Rouge, LLC

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1255994539
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FYZICAL OF BATON ROUGE, LLC
Practice address
5258 Dijon Dr
Baton Rouge, LA 70808-4311
Phone
(225) 408-6900
Fax
(225) 408-6946
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LOUISIANA EAR, NOSE, THROAT AND SINUS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Edie Tucker
Title
Director of Operations
Phone
(225) 408-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5258 Dijon Dr
Baton Rouge, LA 70808-4311

Mailing address

8080 Bluebonnet Blvd Ste 2222
Baton Rouge, LA 70810-7828
Phone (225) 408-6900

National Provider Directory

National Provider Directory
Part of
La Ear Nose Throat Sinus

Member of 1

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

Locations

8080 Bluebonnet Blvd
Ste 2222
Baton Rouge, LA 70810
Phone (225) 408-6900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1255994539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD STE 2222",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107828",
            "telephone_number": "225-408-6900",
            "fax_number": "225-408-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084311",
            "telephone_number": "225-408-6900",
            "fax_number": "225-408-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYZICAL OF BATON ROUGE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISIANA EAR, NOSE, THROAT AND SINUS, LLC",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "EDIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "225-408-6900"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Apr 22, 2019; 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.