Active NPI
Jessica Comeaux Ehlers, PT, DPT
- Physical Therapist
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10828R
- Practice address
- 5247 Didesse Dr
Baton Rouge, LA 70808-9153 - Phone
- (225) 330-0496
- Fax
- (225) 374-0251
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10828R | LA | Primary |
Addresses
Primary practice location
5247 Didesse Dr
Baton Rouge, LA 70808-9153
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 330-0496
Other practice location 1
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565
Other names 1
- Jessica Marie Comeaux
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5247 Didesse Dr
Baton Rouge, LA 70808-9153
Phone (225) 765-2273
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.35 of 100
- Quality
- 80.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10828R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group, LLC | Current | Accepting new patients |
Locations
5247 Didesse Dr
Baton Rouge, LA 70808
Phone (225) 765-2273
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1588062079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1457035982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-330-0496",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5247 DIDESSE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708089153",
"telephone_number": "225-330-0496",
"fax_number": "225-374-0251"
}
],
"practiceLocations": [
{
"address_1": "5000 Hennessy Blvd",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708084375",
"country_code": "US",
"telephone_number": "225-765-6565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EHLERS",
"first_name": "JESSICA",
"middle_name": "COMEAUX",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "10828R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "COMEAUX",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 21, 2023; 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.