Jason M Schexnayder, PT, DPT – Physical Therapist

Key facts

NPI: 1477914992
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 09318 (LA)
Practice address: 530 Shadows LN
Baton Rouge, LA 70806-6530
Phone: (225) 231-3800
Fax: (225) 231-3803
NPI assigned: Mar 10, 2016
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Bourgeois Physical Therapy and Sports Rehab LLC Physical Therapist · Prairieville, LA · NPI 1487063616

Medicare reassignment Care Compare group NPD LA · PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Bourgeois Physical Therapy and Sports Rehab LLC (8 clinicians)

Practice addresses (Care Compare)

17135 Ronald Rd
Prairieville, LA 70769-4168
Phone (225) 744-4878

Medicare participation

Medicare fee-for-service enrollment: Enrolled in LA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190726000068	LA	Practitioner - Physical Therapist in Private Practice	8729336268	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
294917	CA	MD	Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Bourgeois Physical Therapy and Sports Rehab LLC	Physical Therapist	Current since May 13, 2019	Accepting new patients

Locations

2733 W Outfitters Dr
Gonzales, LA 70737
Phone (225) 255-4040

17135 Ronald Rd
Ste B
Prairieville, LA 70769

17135 Ronald Rd
Prairieville, LA 70769
Phone (225) 744-4878

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	09318	LA	Yes

Addresses

Primary practice location

530 Shadows LN
Baton Rouge, LA 70806-6530

Mailing address

530 Shadows LN
Baton Rouge, LA 70806-6530
Phone (225) 231-3800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2016.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1477914992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SHADOWS LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066530",
            "telephone_number": "225-231-3800",
            "fax_number": "225-231-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SHADOWS LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066530",
            "telephone_number": "225-231-3800",
            "fax_number": "225-231-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEXNAYDER",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

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 Mar 10, 2016. 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.

Verify at the official NPI Registry.