Organization Active NPI

Baton Rouge Orthopaedic Clinic, LLC

  • Physical Therapy Clinic/Center
  • Gonzales, LA
National Provider Identifier
1497033831
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BATON ROUGE ORTHOPAEDIC CLINIC, LLC
Practice address
625 S Burnside Ave
Unit 9
Gonzales, LA 70737-3400
Phone
(225) 644-8510
NPI assigned
Aug 3, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Trey Williamson
Title
Ceo
Phone
(225) 924-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

625 S Burnside Ave
Unit 9
Gonzales, LA 70737-3400

Mailing address

8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424

National Provider Directory

National Provider Directory

Locations

625 S Burnside Ave
Ste 9
Gonzales, LA 70737
Phone (225) 215-4438

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1497033831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-924-2424",
            "fax_number": "225-408-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S BURNSIDE AVE",
            "address_2": "UNIT 9",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373400",
            "telephone_number": "225-644-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE ORTHOPAEDIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-924-2424"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.