Lacey Katherine Herron, PT,DPT
Individual provider Active NPI Physical Therapist · Walker, LA
NPI 1295968576 · NPPES record last updated Apr 11, 2018
Key facts
- NPI
- 1295968576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 07606 (LA)
- Practice address
- 28977 Walker Rd S Ste G
Walker, LA 70785-6049 - Phone
- (225) 271-8056
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brown Rogers LLC
Practice addresses (Care Compare)
6723 Jefferson Hwy
Baton Rouge, LA 70806-8106
Phone (225) 926-2400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110309000855 | LA | Practitioner - Physical Therapist in Private Practice | 3173705399 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Rogers LLC | Physical Therapist | Current |
Accepting new patients |
| Cole Health, Inc. | Physical Therapist | Past | Accepting new patients |
| Morgan Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
14241 Airline Hwy
Ste 109
Baton Rouge, LA 70817
Phone (225) 926-2400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07606 | LA | Yes |
Addresses
Primary practice location
28977 Walker Rd S Ste G
Walker, LA 70785-6049
Mailing address
5710 Hidden Ridge LN
Baton Rouge, LA 70816-6364
Phone (225) 931-5064
Other practice location 1
7116 Antioch Rd
Baton Rouge, LA 70817-4805
Phone (225) 756-0870
Other practice location 2
7116 Antioch Rd
Baton Rouge, LA 70817-4805
Phone (225) 756-0870
Other providers in Walker, LA
- Taniesha N Hawkins
- Healthremede Urgent Care, LLC
- Brandi B. Hebert
- Jarrod Thomas Hegwood
- Krystal Murphy Henderson
- Catherine Blackwell Holland
- Taylor Hollingsworth
- Leah Irene Houser
- Hughes Hoover Family Dentistry
- Amie Elise Hutchinson
All providers in Walker, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.