Organization Active NPI

Midline Physical Therapy

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1497630768
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MIDLINE PHYSICAL THERAPY
Practice address
1500 Lobdell Ave Ste B
Baton Rouge, LA 70806-8280
Phone
(318) 542-8281
NPI assigned
Aug 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Marcilet Boudreaux, DPT
Title
Owner
Phone
(318) 542-8281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1500 Lobdell Ave Ste B
Baton Rouge, LA 70806-8280

Mailing address

1500 Lobdell Ave Ste B
Baton Rouge, LA 70806-8280
Phone (318) 542-8281

National Provider Directory

National Provider Directory

Locations

1500 Lobdell Ave
Ste B
Baton Rouge, LA 70806
Phone (318) 542-8281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1497630768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LOBDELL AVE STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068280",
            "telephone_number": "318-542-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LOBDELL AVE STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068280",
            "telephone_number": "318-542-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "MARCILET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-542-8281",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 7, 2025; 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.