Bridget Champagne, MOT, LOTR

Individual provider Active NPI Pediatric Occupational Therapist · Baton Rouge, LA

NPI 1447746375 · NPPES record last updated Jul 3, 2018

Key facts

NPI
1447746375
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
208802 (LA)
Practice address
18268 Petroleum Dr
Baton Rouge, LA 70809-6126
Phone
(225) 292-4138
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
208802LAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilities Pediatric Therapy Clinic Pediatrics Past
since Aug 30, 2020
Accepting new patients
Listening Earfects Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 208802 LA Yes

Addresses

Primary practice location

18268 Petroleum Dr
Baton Rouge, LA 70809-6126

Mailing address

17732 Highland Rd
Ste G, Box 243
Baton Rouge, LA 70810
Phone (225) 292-4138

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Pediatric Occupational Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.