Individual provider Active NPI

Shelley Renee Stroud, LOTR

  • Occupational Therapist
  • Pineville, LA
National Provider Identifier
1033085279
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTT.200122 Issued in LA
Practice address
101 Medical Park Blvd Ste C
Pineville, LA 71360-8426
Phone
(318) 449-0451
NPI assigned
Oct 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTT.200122 LA Primary

Addresses

Primary practice location

101 Medical Park Blvd Ste C
Pineville, LA 71360-8426

Mailing address

166 Shadow Rd
Bentley, LA 71407-2824
Phone (318) 623-5300

Other practice location 1

566 Lobdell Ave
Baton Rouge, LA 70806-6316
Phone (225) 925-2426

Other practice location 2

5505 Jackson St
Alexandria, LA 71303-2324
Phone (318) 625-0410

Other practice location 3

127 W Broad St Ste 850
Lake Charles, LA 70601-4394
Phone (337) 310-8500

Other practice location 4

6715 Highway 1
Boyce, LA 71409-9221
Phone (318) 445-6443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218002977 LA Practitioner - Occupational Therapist in Private Practice 0840770715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

127 W Broad St
Lake Charles, LA 70601-4394

166 Shadow Rd
Bentley, LA 71407-2824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTT.200122LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care Southeast LLC Occupational Therapist CurrentSince Jan 11, 2026 Accepting new patients
Synergy Care Southeast, LLC Single Specialty CurrentSince Jan 11, 2026 Accepting new patients
Prescribed Pediatric Extended Care, Inc Past Accepting new patients

Locations

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

Organizations & group practices 3

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": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1033085279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SHADOW RD",
            "city": "BENTLEY",
            "state": "LA",
            "postal_code": "714072824",
            "telephone_number": "318-623-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL PARK BLVD STE C",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713608426",
            "telephone_number": "318-449-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "566 Lobdell Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066316",
            "country_code": "US",
            "telephone_number": "225-925-2426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5505 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713032324",
            "country_code": "US",
            "telephone_number": "318-625-0410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 W Broad St Ste 850",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706014394",
            "country_code": "US",
            "telephone_number": "337-310-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6715 Highway 1",
            "address_purpose": "LOCATION",
            "city": "Boyce",
            "state": "LA",
            "postal_code": "714099221",
            "country_code": "US",
            "telephone_number": "318-445-6443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUD",
        "first_name": "SHELLEY",
        "middle_name": "RENEE",
        "credential": "LOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.