NPIMap

Organization Active NPI

Downtown Physical Rehabilitation

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1740362912
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02288 Issued in LA
Legal business name
DOWNTOWN PHYSICAL REHABILITATION
Practice address
160 N 8TH St
Baton Rouge, LA 70802-5600
Phone
(225) 383-5021
Fax
(225) 383-5023
NPI assigned
Oct 19, 2006
Last updated
Sep 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Mr. Geoff Luke Lejeune, PTNPI 1669554960
Title
Owner
Phone
(225) 383-5021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 02288 LA Primary

Addresses

Primary practice location

160 N 8TH St
Baton Rouge, LA 70802-5600

Mailing address

160 N 8TH St
Baton Rouge, LA 70802-5600
Phone (225) 383-5021

Other identifiers 2

IdentifierTypeStateIssuer
P00615413OtherLARAILROAD MEDICARE MEMBER PTAN
DN3468OtherLARAILROAD MEDICARE GROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070216000569 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294837548 Receives reassigned benefits from 4 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1740362912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N 8TH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708025600",
            "telephone_number": "225-383-5021",
            "fax_number": "225-383-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N 8TH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708025600",
            "telephone_number": "225-383-5021",
            "fax_number": "225-383-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN PHYSICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "LEJEUNE",
        "authorized_official_first_name": "GEOFF",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-383-5021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE MEMBER PTAN",
            "identifier": "P00615413",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "DN3468",
            "state": "LA"
        }
    ],
    "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 Sep 19, 2008; 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.