Active NPI
Annah Baley Pace, COTA/L
- Occupational Therapy Assistant
- Monroe, LA
National Provider Identifier
1083476121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 340089
- Practice address
- 6700 Highway 165 N
Monroe, LA 71203-8753 - Phone
- (318) 362-4206
- NPI assigned
- Jan 24, 2024
- 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 Therapy Assistant | 224Z00000X | 340089 | LA | Primary |
Addresses
Primary practice location
6700 Highway 165 N
Monroe, LA 71203-8753
Mailing address
1108 Biscayne
Magnolia, AR 71753-4201
Phone (870) 914-1013
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 |
|---|---|---|---|
| 340089 | LA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1083476121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 BISCAYNE",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717534201",
"telephone_number": "870-914-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 HIGHWAY 165 N",
"city": "MONROE",
"state": "LA",
"postal_code": "712038753",
"telephone_number": "318-362-4206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "ANNAH",
"middle_name": "BALEY",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "LA",
"license": "340089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.