Organization Active NPI

Greater Baton Rouge Physical Therapy, LLC

  • Occupational Therapist
  • Baton Rouge, LA
National Provider Identifier
1376751263
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GREATER BATON ROUGE PHYSICAL THERAPY, LLC
Practice address
7855 Howell Blvd
220
Baton Rouge, LA 70807
Phone
(225) 454-6005
Fax
(225) 454-6018
NPI assigned
May 21, 2007
Last updated
Sep 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Arewanda W Douglas, LOTRNPI 1285624783
Title
Director
Phone
(225) 454-6005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

7855 Howell Blvd
220
Baton Rouge, LA 70807

Mailing address

7855 Howell Blvd
Suite 220
Baton Rouge, LA 70807
Phone (225) 454-6005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101230000194 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426246745 Receives reassigned benefits from 2 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

3676 Harding Blvd
Ste Bc
Baton Rouge, LA 70807
Phone (225) 454-6005

7855 Howell Blvd
Ste 220
Baton Rouge, LA 70807
Phone (225) 454-6005

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1376751263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "address_2": "SUITE 220",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70807",
            "telephone_number": "225-454-6005",
            "fax_number": "225-454-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "address_2": "220",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70807",
            "telephone_number": "225-454-6005",
            "fax_number": "225-454-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BATON ROUGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "AREWANDA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-454-6005",
        "authorized_official_credential": "LOTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational 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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.