Active NPI
Nikki Delayn Gomez, M.O.T., L.O.T.R.
- Occupational Therapist
- Baton Rouge, LA
National Provider Identifier
1083913123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.200449
- Practice address
- 13336 N. Eisworth Ave.
Baton Rouge, LA 70818 - Phone
- (225) 278-2654
- NPI assigned
- Mar 15, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT.200449 | LA | Primary |
Addresses
Primary practice location
13336 N. Eisworth Ave.
Baton Rouge, LA 70818
Mailing address
13336 N. Eisworth Ave.
Baton Rouge, LA 70818
Phone (225) 278-2654
Other practice location 1
11140 N Harrells Ferry Rd
Baton Rouge, LA 70816-8307
Phone (225) 926-1838
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.200449 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurotherapy Specialists Inc | Occupational Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Baton Rouge, LA
- NPI 1013097054
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1083913123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13336 N. EISWORTH AVE.",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70818",
"telephone_number": "225-278-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13336 N. EISWORTH AVE.",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70818",
"telephone_number": "225-278-2654"
}
],
"practiceLocations": [
{
"address_1": "11140 N Harrells Ferry Rd",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708168307",
"country_code": "US",
"telephone_number": "225-926-1838",
"fax_number": "225-275-0930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "NIKKI",
"middle_name": "DELAYN",
"credential": "M.O.T., L.O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-15",
"last_updated": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.200449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.