Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chad Frederickson

Individual provider Athletic Trainer · NPI 1104262617

Chad Frederickson is an Athletic Trainer in Baton Rouge, Louisiana. Works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2013
Specialties on file
2

Practice location Partly verified

Some contact details are missing from the federal record.

Infirmary Rd
Baton Rouge, LA 70803-2401
Phone: (225) 578-5633
Fax: (225) 578-5655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16 Infirmary Rd, Baton Rouge, LA 70803-2401 — (225) 578-6761

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence ATH.200132 (LA)
Athletic Trainer Taxonomy 2255A2300X · Licence ATH.200132 (LA)

Record details

NPI number1104262617
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2013
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

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