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CHAD FREDERICKSON
NPI 1104262617
Physical Medicine & Rehabilitation - Sports Medicine in Baton Rouge, LA

Active since May 13, 2013
INFIRMARY RD, BATON ROUGE, LA 70803(225) 578-5633(225) 578-5655 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chad Frederickson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAD FREDERICKSON (NPI 1104262617) is an individual sports medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (ATH.200132) and active in the NPI registry since May 2013. He maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1104262617
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameCHAD FREDERICKSON
Location AddressINFIRMARY RDBaton Rouge, LA 70803-2401
Mailing AddressInfirmary RdBaton Rouge, LA 70803-2401 · (225) 578-5633 · Fax (225) 578-5655
Phone(225) 578-5633
Fax(225) 578-5655
Sole ProprietorNo
Enumeration DateMay 13, 2013
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1104262617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in LA · ATH.200132
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License ATH.200132 (LA)
INFIRMARY RD, Baton Rouge, LA 70803
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Secondary Practice Location 1

Location 116 Infirmary RdBaton Rouge, LA 70803-2401 · Phone (225) 578-6761 · Fax (225) 578-0596

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA RUTHERFORD RESTIVO NP
Nurse Practitioner
INFIRMARY RD
BATON ROUGE, LA 70803
East Baton Rouge Parish (225) 578-5693
LOUISIANA STATE UNIVERSITY AND A & M COLLEGE STUDENT HEALTH CENTER
Clinic/Center (Student Health)
INFIRMARY RD, LSU CAMPUS
BATON ROUGE, LA 70803
East Baton Rouge Parish (225) 578-6271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad Frederickson's NPI number?

The NPI number for Chad Frederickson is 1104262617. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Where is Chad Frederickson located?

Chad Frederickson practices at Infirmary Rd, Baton Rouge, LA 70803. The listed phone number is (225) 578-5633.

What is Chad Frederickson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Chad Frederickson was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.