Individual provider Active NPI

Kate Helena Grigg, PT, DPT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1609208628
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08591 Issued in LA
Practice address
530 Shadows LN
Baton Rouge, LA 70806-6530
Phone
(225) 927-9185
Fax
(225) 231-3833
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 08591 LA Primary

Addresses

Primary practice location

530 Shadows LN
Baton Rouge, LA 70806-6530

Mailing address

530 Shadows LN
Baton Rouge, LA 70806-6530
Phone (225) 927-9185

Other names 1

  • Kate Helena Broussard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181219001689 LA Practitioner - Physical Therapist in Private Practice 6002118429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schultz Physical Therapy of BogalusaGroup PAC ID 1850611583, 5 clinicians

Practice addresses (Care Compare)

46105 Hwy 10
Franklinton, LA 70438-5813
Phone (985) 732-1651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Star Physical Therapy Physical Therapist CurrentSince Dec 3, 2018 Accepting new patients
River Region Rehab, LLC Physical Therapist CurrentSince Dec 3, 2021 Accepting new patients
Schultz Physical Therapy of Bogalusa Physical Therapist CurrentSince Jul 28, 2022 Accepting new patients

Locations

414 Avenue B
Bogalusa, LA 70427
Phone (985) 732-1651

70367 Highway 21
#200
Covington, LA 70433
Phone (985) 590-3303

340 Falconer Dr
Covington, LA 70433
Phone (985) 893-2845

46105 Highway 10
Franklinton, LA 70438
Phone (985) 322-2086

12371 Highway 90
Ste D
Luling, LA 70070
Phone (985) 331-1001

2306 Front St
Ste 27
Slidell, LA 70458
Phone (985) 661-1000

820 Town Center Pkwy
Ste B700
Slidell, LA 70458
Phone (985) 715-4169

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1609208628",
    "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": "225-927-9185",
            "fax_number": "225-231-3833"
        },
        {
            "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": "225-927-9185",
            "fax_number": "225-231-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "KATE",
        "middle_name": "HELENA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "BROUSSARD",
            "middle_name": "HELENA",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.