Leslie Guillory Moore, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.200680 Issued in LA

Practice address

201 Woodland Dr
Broussard, LA 70518-3442

Phone

(337) 234-7018

Fax

(337) 232-3891

NPI assigned

Nov 22, 2023

Last updated

Nov 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Guidry Rehabilitation LLC

  dba Center for Work Rehabilitation

  • Occupational Therapist
  • Broussard, LA
  • NPI 1770574592
  NPD
• Worxcel the Center for Work Rehabilitation

  • Rehabilitation Clinic/Center
  • Broussard, LA
  • NPI 1386565257
  NPD (past)

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1023883741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WOODLAND DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705183442",
            "telephone_number": "337-234-7018",
            "fax_number": "337-232-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WOODLAND DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705183442",
            "telephone_number": "337-234-7018",
            "fax_number": "337-232-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LESLIE",
        "middle_name": "GUILLORY",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Claire Miller
• Tinesha Batiste Mitchell, LPC
• Alex Mize
• Vickie Montalvo
• Alexis Montet
• National Seating & Mobility, Inc.
• Nexstep Transportation, LLC
• Ngoc Kim Nguyen, PHARMD
• Allison O'Quin, NP
• Occucare International Lafayette

• Occupational Therapist in Broussard, LA
• Providers in Broussard, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.