Integrative Touch Pediatric Occupational Therapy Services, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

OTZ.12356 Issued in LA

Legal business name

INTEGRATIVE TOUCH PEDIATRIC OCCUPATIONAL THERAPY SERVICES, LLC

Practice address

4 Michael Dr
Luling, LA 70070-3112

Phone

(504) 417-0281

Fax

(504) 417-0281

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Tammi Rebella Lavin, LOTRNPI 1720110067

Title

Owner/Therapist

Phone

(504) 417-0281

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammi Rebella Lavin, OT

  • Pediatric Occupational Therapist
  • Luling, LA
  • NPI 1720110067
  NPD (past) Authorized official
• Mary Elizabeth Broussard, LOTR

  • Occupational Therapist
  • Mandeville, LA
  • NPI 1801227210
  NPD (past)

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1073968632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 N CAUSEWAY BLVD",
            "address_2": "STE. D",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716435",
            "telephone_number": "985-871-6777",
            "fax_number": "985-871-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MICHAEL DR",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700703112",
            "telephone_number": "504-417-0281",
            "fax_number": "504-417-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE TOUCH PEDIATRIC OCCUPATIONAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "REBELLA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "504-417-0281",
        "authorized_official_credential": "LOTR"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "OTZ.12356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Luling, LA
• Providers in Luling, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.