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OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
NPI 1235912502
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Baton Rouge, LA

Active since August 18, 2023
1805 COLLEGE DR, BATON ROUGE, LA 70808(225) 923-3420(225) 922-9316 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Our Lady Of The Lake Physician Group Llc NPPES

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

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC (NPI 1235912502), doing business as Our Lady Of The Lake Children's Health Developmental Center At Mcmains, is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Baton Rouge, Louisiana and active in the NPI registry since August 2023. The organization lists Jamy Richard, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1235912502
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameOUR LADY OF THE LAKE PHYSICIAN GROUP LLC
Location Address1805 COLLEGE DRBaton Rouge, LA 70808-1919
Mailing AddressPo Box 677957Dallas, TX 75267-7957 · (225) 765-5727
Phone(225) 923-3420
Fax(225) 922-9316
Organization SubpartYes
Authorized OfficialJamy RichardVp Of Finance · (225) 526-0121
Enumeration DateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
✔ NPI 1235912502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
1805 COLLEGE DR, Baton Rouge, LA 70808
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Other Names 1

Doing Business AsOur Lady Of The Lake Children's Health Developmental Center At Mcmains

Other Providers at the Same Location NPPES 20

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

SYDNIE SHACKLETON COLE PT, DPT
Physical Therapist
1805 COLLEGE DR, OTHER ADDRESS
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 923-3420
MAUREEN ANNE QUERN PT, DPT
Physical Therapist
1805 COLLEGE DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 923-3420
CEREBRAL PALSY ASSOCIATION OF GREATER BATON ROUGE
Speech-Language Pathologist
1805 COLLEGE DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 923-3420
HANNAH ELISE HOFFER MCD, CF-SLP
Speech-Language Pathologist
1805 COLLEGE DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 923-3420
CEREBRAL PALSY ASSOCIATION OF G.B.R., INC.
Clinic/Center (Multi-Specialty)
1805 COLLEGE DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 923-3420
KACEY RODRIGUE MCD, CF-SLP
Speech-Language Pathologist
1805 COLLEGE DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 923-3240
DEBRA HINKLE GAUTHREAUX MS LOTR
Occupational Therapist (Pediatrics)
1805 COLLEGE DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 923-3420
MADELINE ANN JOHNSON M.A. CF-SLP
Speech-Language Pathologist
1805 COLLEGE DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 923-3420

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 Our Lady Of The Lake Physician Group LLC's NPI number?

The NPI number for Our Lady Of The Lake Physician Group LLC is 1235912502. It was assigned to this organization in the NPPES registry on August 18, 2023. The provider is doing business as Our Lady of the Lake Children's Health Developmental Center at McMains.

Where is Our Lady Of The Lake Physician Group LLC located?

Our Lady Of The Lake Physician Group LLC is located at 1805 College Dr, Baton Rouge, LA 70808. The listed phone number is (225) 923-3420.

What is Our Lady Of The Lake Physician Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Our Lady Of The Lake Physician Group LLC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.