IndividualActive
Chad Frederickson
NPI 1104262617 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Baton Rouge, LA
Provider details
- NPI number
- 1104262617
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- ATH.200132 (LA)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense ATH.200132 (LA)
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
Infirmary Rd
Baton Rouge, LA 70803-2401
Phone: (225) 578-5633
Fax: (225) 578-5655
Approximate (ZIP-level) locationGet directions
Mailing address
Infirmary Rd
Baton Rouge, LA 70803-2401
Additional practice locations (1)
- 16 Infirmary RdBaton Rouge, LA 70803-2401Phone: (225) 578-6761Fax: (225) 578-0596
Registry dates
- Enumerated
- 2013-05-13
- Last updated
- 2025-05-01
- Certified
- 2025-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.