Individual provider Active NPI

Barry Fitterer

  • Occupational Therapist
  • Metairie, LA
National Provider Identifier
1013095074
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
4650 W Esplanade Ave Ste 106
Metairie, LA 70006-2765
Phone
(504) 885-0007
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

4650 W Esplanade Ave Ste 106
Metairie, LA 70006-2765

Mailing address

205 Frost LN
Mandeville, LA 70448-7028
Phone (504) 491-1365

Other practice location 1

1242 S Morrison Blvd # 0
Hammond, LA 70403-5702
Phone (985) 402-3103

Other practice location 2

2132 Gause Blvd E Ste 6
Slidell, LA 70461-4243
Phone (985) 646-2531

Other identifiers 1

IdentifierTypeStateIssuer
Z10656OtherLALICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628000705 LA Practitioner - Occupational Therapist in Private Practice 5991106098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Plus, LLC Occupational Therapist CurrentSince Jun 17, 2021 Accepting new patients

Locations

1242 S Morrison Blvd
Ste O
Hammond, LA 70403
Phone (985) 402-3103

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1013095074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FROST LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487028",
            "telephone_number": "504-491-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W ESPLANADE AVE STE 106",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062765",
            "telephone_number": "504-885-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1242 S Morrison Blvd # 0",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704035702",
            "country_code": "US",
            "telephone_number": "985-402-3103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2132 Gause Blvd E Ste 6",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704614243",
            "country_code": "US",
            "telephone_number": "985-646-2531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITTERER",
        "first_name": "BARRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "Z10656",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.