Lance Angelle, PT
Individual provider Active NPI Physical Therapist · Baton Rouge, LA
NPI 1467097550 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1467097550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 34014 (FL)
- Practice address
- 5258 Dijon Dr
Baton Rouge, LA 70808-4311 - Phone
- (225) 256-3828
- Fax
- (225) 256-3829
- NPI assigned
- Nov 12, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- At Still University, Arizona School of Dentistry & Oral HLTH, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson Parish Therapy Center, LLC
Practice addresses (Care Compare)
5258 Dijon Dr
Baton Rouge, LA 70808-4311
Phone (225) 256-3828
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200210001917 | LA | Practitioner - Physical Therapist in Private Practice | 9335575455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34014 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Parish Therapy Center LLC | Physical Therapist | Current |
Accepting new patients |
| Louisiana Ear, Nose, Throat & Sinus, LLC | Past | Accepting new patients |
Locations
5258 Dijon Dr
Baton Rouge, LA 70808
Phone (225) 408-6900
900 Pershing Hwy
Jonesboro, LA 71251
Phone (318) 224-8994
16172 Airline Hwy
#B
Prairieville, LA 70769
Phone (225) 255-4020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34014 | FL | Yes |
Addresses
Primary practice location
5258 Dijon Dr
Baton Rouge, LA 70808-4311
Mailing address
604 N Acadia Rd Ste 101
Thibodaux, LA 70301-4897
Phone (985) 446-5079
Other providers in Baton Rouge, LA
- Angela Martello, LPC, LLC
- Angelic Hands, Inc.
- Angelic Touch Veterans Care
- Angelle Group, Inc.
- Anne Verdella Angelle
- Angela Harrison Angelloz
- Christine E Angelloz
- Angels All Around Healthcare Services
- Angels Heart Home Care, LLC
- Angels Hearts Home Care
All providers in Baton Rouge, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.