Individual provider Active NPI

Greg Joseph Leblanc, PT, OCS

  • Orthopedic Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1275624249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
04445 Issued in LA
Practice address
5414 Brittany Dr
Suite G
Baton Rouge, LA 70808-9124
Phone
(225) 769-3898
Fax
(225) 231-3813
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 04445 LA Primary

Addresses

Primary practice location

5414 Brittany Dr
Suite G
Baton Rouge, LA 70808-9124

Mailing address

5414 Brittany Dr
Suite G
Baton Rouge, LA 70808-9124
Phone (225) 769-3898

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

LicenseStateTypeSpecialty
04445LAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BRPT-Lake Rehabilitation Centers, LLC Past Accepting new patients

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275624249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 BRITTANY DR",
            "address_2": "SUITE G",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089124",
            "telephone_number": "225-769-3898",
            "fax_number": "225-231-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 BRITTANY DR",
            "address_2": "SUITE G",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089124",
            "telephone_number": "225-769-3898",
            "fax_number": "225-231-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "GREG",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "04445",
            "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 Jul 8, 2007; 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.