Our Lady of the Lake Physician Group LLC
NPI 1235912502 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Baton Rouge, LA
Our Lady of the Lake Physician Group LLC is a Comprehensive Outpatient Rehabilitation Facility (CORF) organization in Baton Rouge, LA (NPI 1235912502).
Provider details
- NPI number
- 1235912502
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Parent organization
- Our Lady of the Lake Physician Group LLC
- Organization subpart
- Yes
- Authorized official
- Jamy Richard, Vp of Finance(225) 526-0121
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Our Lady of the Lake Children'S Health Developmental Center at Mcmains
Registry dates
- Enumerated
- 2023-08-18
- Last updated
- 2023-08-18
- Certified
- 2023-08-18
Frequently asked questions
- What is Our Lady of the Lake Physician Group LLC's NPI number?
- Our Lady of the Lake Physician Group LLC's National Provider Identifier (NPI) is 1235912502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Our Lady of the Lake Physician Group LLC?
- Our Lady of the Lake Physician Group LLC is classified in the NPPES registry as Comprehensive Outpatient Rehabilitation Facility (CORF) (Ambulatory Health Care Facilities).
- Where is Our Lady of the Lake Physician Group LLC located?
- Our Lady of the Lake Physician Group LLC's practice location on file with NPPES is 1805 College Dr, Baton Rouge, LA 70808-1919.
- What is Our Lady of the Lake Physician Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Our Lady of the Lake Physician Group LLC is (225) 923-3420.
- Who is the authorized official for Our Lady of the Lake Physician Group LLC?
- The authorized official listed on Our Lady of the Lake Physician Group LLC's NPPES record is Jamy Richard, Vp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Our Lady of the Lake Physician Group LLC's NPI active?
- Yes — Our Lady of the Lake Physician Group LLC's NPI (1235912502) is active in the NPPES registry as of the last update on 2023-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.