Beau Bernell Lowery, PT, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

05277R Issued in LA

Practice address

8080 Bluebonnet Blvd
Suit #110
Baton Rouge, LA 70810-7827

Phone

(225) 408-7990

Fax

(225) 408-7989

NPI assigned

Aug 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Baton Rouge Orthopaedic Clinic, LLC

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
  • NPI 1770503690
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1609008903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUIT #110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-408-7990",
            "fax_number": "225-408-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUIT #110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-408-7990",
            "fax_number": "225-408-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "BEAU",
        "middle_name": "BERNELL",
        "name_prefix": "Mr.",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "05277R",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "ATH.J00349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loving Sisters Medical Transportation LLC
• John Otto Lovretich, M.D.
• Carmen Skylar Low
• Lyndsey Myers Lowder, NP
• Brooke Brignac Lowenkron, MS, RD, LDN
• Gracyn Lea Migues Lowery, LCSW
• Hannah Nicole Lowery, CIT
• Laketta Lowery, MS, LPC
• Luke Lowery
• Yolanda Marie Lowery, LPC-S

• Orthopedic Physical Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.