Active NPI
Barry Fitterer
- Occupational Therapist
- Metairie, LA
National Provider Identifier
1013095074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z10656 | Other | LA | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Plus, LLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Hammond, LA
- NPI 1043836141
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.