CHAD FREDERICKSON – NPI #1104262617
Physical Medicine & Rehabilitation

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 is a physician located in BATON ROUGE, LA. NPPES has assigned the NPI number 1104262617 to CHAD FREDERICKSON on May 13, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

The NPI profile was last updated on May 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHAD FREDERICKSON below.

NPI Profile for
CHAD FREDERICKSON

NPI Number
1104262617
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHAD FREDERICKSON
Primary location
INFIRMARY RD
BATON ROUGE, LA 70803-2401
Phone: (225) 578-5633 Fax: (225) 578-5655
1 Other location(s):
16 Infirmary Rd
Baton Rouge, LA 70803-2401
Phone: (225) 578-6761
Fax: (225) 578-0596
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)
LA ATH.200132
2255A2300X
- Specialist/Technologist / Athletic Trainer
LA ATH.200132

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.