Active NPI
Tracie Pertuit Palma, OT
- Occupational Therapist
- La Place, LA
National Provider Identifier
1083362164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.Z11963
- Practice address
- 1805 Ellerslie Ave
La Place, LA 70068-2707 - Phone
- (504) 234-9480
- NPI assigned
- Mar 16, 2022
- Last updated
- Apr 10, 2022
- Sex
- Female
- Sole proprietor
- No
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.Z11963 | LA | Primary |
Addresses
Primary practice location
1805 Ellerslie Ave
La Place, LA 70068-2707
Mailing address
1805 Ellerslie Ave
La Place, LA 70068-2707
Phone (504) 234-9480
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.Z11963 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649548800000",
"number": "1083362164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 ELLERSLIE AVE",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700682707",
"telephone_number": "504-234-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 ELLERSLIE AVE",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700682707",
"telephone_number": "504-234-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMA",
"first_name": "TRACIE",
"middle_name": "PERTUIT",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-04-10",
"certification_date": "2022-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.Z11963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.