Brent Lague, PT, DPT.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05015153A Issued in IN

Practice address

590 Pit Rd
Brownsburg, IN 46112-7830

Phone

(317) 415-6040

NPI assigned

Oct 6, 2023

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

Other names 1

• Brent Lague Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St. Vincent Medical Group, Inc.

  dba Ascension Medical Group St. Vincent

  • Orthopaedic Surgery Physician
  • Winchester, IN
  • NPI 1144513375
  Medicare reassignment NPD
• St. Vincent Medical Group, Inc.

  dba Ascension Medical Group St. Vincent

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1811881527
  NPD

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1699556514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 PIT RD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 PIT RD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127830",
            "telephone_number": "317-415-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Naab Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602086",
            "country_code": "US",
            "telephone_number": "317-338-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGUE",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16449-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015153A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENT",
            "last_name": "LAGUE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jordan Kruml, RBT
• Maisie Kuzee-Baumis
• Primavera Anndera Ladd, FNP-BC
• Jazzmin Laffin
• Carin Lafollette, RBT
• Katie Lake
• Colleen J Lakin, ANP
• John Crawford Lamar
• Amanda Grace Lamb, MSW, LCSW
• Alyssa Lambka

• Physical Therapist in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.