Active NPI
Jessica Otis
- Physical Therapist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4105 Baronne St
New Orleans, LA 70115-4705 - Phone
- (504) 237-7585
- NPI assigned
- Aug 2, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4105 Baronne St
New Orleans, LA 70115-4705
Mailing address
4105 Baronne St
New Orleans, LA 70115-4705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Region Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Center of Ocean Springs, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Center of Ocean Springs, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1972 Ormond Blvd
Ste D
Destrehan, LA 70047
Phone (985) 307-0925
3820 Lapalco Blvd
Ste 100
Harvey, LA 70058
Phone (404) 702-0292
12371 Highway 90
Ste D
Luling, LA 70070
Phone (985) 331-1001
12449 Highway 49
Ste C
Gulfport, MS 39503
Phone (228) 872-6836
900 Holcomb Blvd
#A
Ocean Springs, MS 39564
Phone (228) 872-6821
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
- Ocean Springs, MS
- NPI 1578647780
-
- Physical Therapist
- Luling, LA
- NPI 1407829252
-
- Physical Therapist
- Hattiesburg, MS
- NPI 1447882287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1073945911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 BARONNE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701154705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 BARONNE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701154705",
"telephone_number": "504-237-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTIS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.