Individual provider Active NPI

Luke Adam Bunch, DPT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1831681204
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009958 Issued in LA
Practice address
750 Jefferson Hwy
Baton Rouge, LA 70806-6118
Phone
(225) 831-1300
Fax
(225) 831-1299
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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 009958 LA Primary

Addresses

Primary practice location

750 Jefferson Hwy
Baton Rouge, LA 70806-6118

Mailing address

750 Jefferson Hwy
Baton Rouge, LA 70806-6118
Phone (225) 831-1300

Other identifiers 1

IdentifierTypeStateIssuer
721315267OtherLAPEAK PERFORMANCE PHYSICAL THERAPY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829002200 LA Practitioner - Physical Therapist in Private Practice 8729338587 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009958LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy Limited Partnership CurrentSince Jul 1, 2021 Accepting new patients
Peak Performance Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

7069 Perkins Rd
Ste A
Baton Rouge, LA 70808
Phone (225) 769-6161

11320 Industriplex Blvd
Baton Rouge, LA 70809
Phone (225) 295-8183

6756 Langley Dr
#A
Baton Rouge, LA 70809

750 Jefferson Hwy
Baton Rouge, LA 70806
Phone (225) 831-1300

6756 Langley Dr
Baton Rouge, LA 70809
Phone (225) 663-8232

145 Aspen Sq
#A
Denham Springs, LA 70726
Phone (225) 667-8989

36491 Dutchtown Gardens Ave
Geismar, LA 70734
Phone (225) 744-7325

4463 Hwy 1 S
Ste D
Port Allen, LA 70767
Phone (225) 749-8980

Organizations & group practices 2

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1831681204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066118",
            "telephone_number": "225-831-1300",
            "fax_number": "225-831-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066118",
            "telephone_number": "225-831-1300",
            "fax_number": "225-831-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "LUKE",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "009958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEAK PERFORMANCE PHYSICAL THERAPY",
            "identifier": "721315267",
            "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 Jun 1, 2018; 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.