CHAD FREDERICKSON NPI 1104262617

NPI Information

  • NPI: 1104262617
  • Provider Name: CHAD FREDERICKSON
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: INFIRMARY RD
    BATON ROUGE, LA
    ZIP 70803
  • Phone: (225) 578-5633

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NPI Details

Chad Frederickson is a sports medicine physical medicine rehabilitation in Baton Rouge, LA. The provider is 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. Chad Frederickson NPI is 1104262617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

INFIRMARY RD
BATON ROUGE, LA
ZIP 70803-401
Phone: (225) 578-5633
Fax: (225) 578-5655

The enumeration date for this NPI number is 5/13/2013 and was last updated on 5/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerATH.200132LOUISIANANo
22081S0010XPhysical Medicine & RehabilitationSports MedicineATH.200132LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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