Individual provider Active NPI

Benjamin P Leblanc, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1730564543
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
08565 Issued in LA
Practice address
530 Shadows LN
Baton Rouge, LA 70806-6530
Phone
(225) 231-3800
Fax
(225) 231-3803
NPI assigned
Jul 22, 2015
Last updated
May 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 08565 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) 231-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1730564543",
    "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": "225-231-3800",
            "fax_number": "225-231-3803"
        },
        {
            "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": "225-231-3800",
            "fax_number": "225-231-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "BENJAMIN",
        "middle_name": "P",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "08565",
            "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 May 12, 2020; 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.