Individual provider Active NPI

Dane Estel Hupp, M.S.P.T.

  • Contractor
  • Baton Rouge, LA
National Provider Identifier
1891829636
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
03881R Issued in LA
Practice address
17050 Medical Center Dr
Suite 203
Baton Rouge, LA 70816-3221
Phone
(225) 756-3744
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 03881R LA Primary
Physical Therapist 225100000X 03881R LA
Rehabilitation Practitioner 225400000X 03881R LA

Addresses

Primary practice location

17050 Medical Center Dr
Suite 203
Baton Rouge, LA 70816-3221

Mailing address

23245 Old Scenic Hwy
Zachary, LA 70791-6200
Phone (225) 570-2293

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03881RLAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891829636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23245 OLD SCENIC HWY",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707916200",
            "telephone_number": "225-570-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 MEDICAL CENTER DR",
            "address_2": "SUITE 203",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163221",
            "telephone_number": "225-756-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPP",
        "first_name": "DANE",
        "middle_name": "ESTEL",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "LA",
            "license": "03881R",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03881R",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "LA",
            "license": "03881R",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.