Active NPI
Scott Masters Hetherwick
- Recreation Therapist
- Lafayette, LA
National Provider Identifier
1033028428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 50293
- Practice address
- 409 Corona Dr
Lafayette, LA 70503-4726 - Phone
- (337) 257-6242
- NPI assigned
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 50293 | LA | Primary |
Addresses
Primary practice location
409 Corona Dr
Lafayette, LA 70503-4726
Mailing address
409 Corona Dr
Lafayette, LA 70503-4726
Phone (337) 257-6242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1033028428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 CORONA DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705034726",
"telephone_number": "337-257-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 CORONA DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705034726",
"telephone_number": "337-257-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETHERWICK",
"first_name": "SCOTT",
"middle_name": "MASTERS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": "LA",
"license": "50293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.