Individual provider Active NPI

Lacey Katherine Herron, PT,DPT

  • Physical Therapist
  • Walker, LA
National Provider Identifier
1295968576
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07606 Issued in LA
Practice address
28977 Walker Rd S Ste G
Walker, LA 70785-6049
Phone
(225) 271-8056
NPI assigned
Sep 2, 2009
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 07606 LA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110309000855 LA Practitioner - Physical Therapist in Private Practice 3173705399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown Rogers LLCGroup PAC ID 5799750196, 12 clinicians

Practice addresses (Care Compare)

6723 Jefferson Hwy
Baton Rouge, LA 70806-8106
Phone (225) 926-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07606LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Rogers LLC Physical Therapist CurrentSince Sep 18, 2020 Accepting new patients
Morgan Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Cole Health, Inc. Physical Therapist Past Accepting new patients

Locations

14241 Airline Hwy
Ste 109
Baton Rouge, LA 70817
Phone (225) 926-2400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1295968576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 HIDDEN RIDGE LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166364",
            "telephone_number": "225-931-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28977 WALKER RD S STE G",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707856049",
            "telephone_number": "225-271-8056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7116 Antioch Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708174805",
            "country_code": "US",
            "telephone_number": "225-756-0870",
            "fax_number": "225-756-0804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7116 Antioch Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708174805",
            "country_code": "US",
            "telephone_number": "225-756-0870",
            "fax_number": "225-756-0804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON",
        "first_name": "LACEY",
        "middle_name": "KATHERINE",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.