NPIMap

Organization Active NPI

Lafayette Physical Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Lafayette, LA
National Provider Identifier
1881628097
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
589 Issued in LA
Legal business name
LAFAYETTE PHYSICAL REHABILITATION HOSPITAL, LLC
Practice address
111 Republic Avenue
Lafayette, LA 70508
Phone
(337) 314-1111
Fax
(337) 314-1113
NPI assigned
Jul 11, 2006
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Jessica Lane McGee
Title
Cfo
Phone
(337) 269-9566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 589 LA Primary

Addresses

Primary practice location

111 Republic Avenue
Lafayette, LA 70508

Mailing address

101 La Rue France
Ste 500
Lafayette, LA 70508
Phone (337) 269-9566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051129000981 LA Part A Provider - Hospital 6305866831 Practice locations: Lafayette, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881628097. Details of each certification follow.

Hospital certification: CCN 193093

Legal name
LAFAYETTE PHYSICAL REHABILITATION HOSPITAL LLC
Doing business as
LAFAYETTE-AMG PHYSICAL REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Feb 22, 2006
Last certification
Nov 19, 2024
Beds
32
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Aug 12, 2003 in LA
Enrollment address
111 Republic Avenue
Lafayette, LA 70508-6863
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Lafayette-Amg Physical Rehabilitation HospitalCCN 193093 · All quality measures
Ownership
For profit
Certified
Feb 22, 2006
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1053500Lafayette Physical Rehabilitation Hospital LLC111 Republic Avenue, Lafayette, LA 70508Certificate of waiverApr 25, 2028

National Provider Directory

National Provider Directory

Locations

111 Republic Ave
Lafayette, LA 70508
Phone (337) 314-1111

307 Polly Ln
Lafayette, LA 70508
Phone (337) 314-1111

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amg 2 0 Holdco Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Jan 2, 2022 100%
Timothy W Howard Individual Corporate OfficerCorporate Ceo and Board Member Sep 1, 2003 100%
Jessica L McGee Individual Corporate OfficerChief Financial Officer Jan 1, 2013 10%
Abby H Aucoin Individual W-2 Managing EmployeeAd; Feb 19, 2026 50%
Amg 2.0, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Jan 2, 2022 100%
August J Rantz Individual Corporate OfficerPresident Jan 2, 2022 100%
Amg Employee Stock Ownership Plan Organization, Lafayette, LA 5% Or Greater Indirect Ownership Interest Jan 2, 2022 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1881628097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LA RUE FRANCE",
            "address_2": "STE 500",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-269-9566",
            "fax_number": "337-234-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 REPUBLIC AVENUE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-314-1111",
            "fax_number": "337-314-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE PHYSICAL REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-269-9566"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.