Baile Lane Louderback, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6585 Issued in OK

Practice address

530 S Peoria Ave
Tulsa, OK 74120-3820

Phone

(918) 588-1900

NPI assigned

Apr 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indian Health Care Resource CenterGroup PAC ID 0042117590, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD

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.

• Indian Health Care Resource Center

  • Clinic/Center
  • Tulsa, OK
  • NPI 1427034958

  TX

  Medicare reassignment Care Compare group NPD
• Advanced Orthopedics of Oklahoma PLLC

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1235676453

  Physical Therapist

  Medicare reassignment NPD
• Redbud Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Tulsa, OK
  • NPI 1710437306

  Physical Therapist

  Medicare reassignment NPD
• Advanced Orthopedics of Oklahoma PLLC

  dba Advanced Orthopedics of Oklahoma

  • Orthopaedic Surgery Physician
  • Owasso, OK
  • NPI 1104663996

  Physical Therapist

  NPD
• Redbud Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Skiatook, OK
  • NPI 1730831868
  NPD
• Indian Health Care Resource Center of Tulsa, Inc.

  • Pharmacy
  • Tulsa, OK
  • NPI 1457447609
  NPD (past)
• Redbud Physical Rehabilitation PC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1356339659
  NPD (past)

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1316791452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374299",
            "fax_number": "918-927-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741203820",
            "telephone_number": "918-588-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDERBACK",
        "first_name": "BAILE",
        "middle_name": "LANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantelle Lott
• Patrice Lott
• Lotus Acupuncture and Chinese Medicine, LLC
• Lotus Psychiatry
• Sara Loucks
• Sarah Louderback, D.O.
• Rikki Loudermilk
• Martineau Louine, MD
• Edwin Jerome Louis II
• Lourdes Counseling Services LLC

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.