Active NPI
Shelley Renee Stroud, LOTR
- Occupational Therapist
- Pineville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.200122
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.200122 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Care Southeast LLC | Occupational Therapist | Current | Accepting new patients |
| Synergy Care Southeast, LLC | Single Specialty | Current | 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.
-
- Physical Therapist
- Lake Charles, LA
- NPI 1891156055
LA, Occupational Therapist
-
- Medically Fragile Infants and Children Day Care
- Alexandria, LA
- NPI 1265844013
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.