Individual provider Active NPI

Michelle L Bolton Lemoine, LOTR

  • Occupational Therapist
  • West Monroe, LA
National Provider Identifier
1063671675
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTT200167 Issued in LA
Practice address
2106 N 7TH St Ste 230
West Monroe, LA 71291-4444
Phone
(318) 600-6640
Fax
(318) 605-2662
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTT200167 LA Primary

Addresses

Primary practice location

2106 N 7TH St Ste 230
West Monroe, LA 71291-4444

Mailing address

2106 N 7TH St Ste 230
West Monroe, LA 71291-4444
Phone (318) 331-2769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTT200167LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Lemoine Therapy, LLC Occupational Therapist CurrentSince Jul 24, 2022 Accepting new patients

Locations

2106 N 7th St
Ste 230
West Monroe, LA 71291
Phone (318) 600-6640

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063671675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 N 7TH ST STE 230",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914444",
            "telephone_number": "318-331-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 N 7TH ST STE 230",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914444",
            "telephone_number": "318-600-6640",
            "fax_number": "318-605-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON LEMOINE",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT200167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.