Landry David Setliff, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

215820 Issued in TX

Practice address

1800 N Broadway St
Ballinger, TX 76821-2418

Phone

(325) 365-2538

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1104471358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 PORT O CALL DR",
            "city": "RUNAWAY BAY",
            "state": "TX",
            "postal_code": "764264503",
            "telephone_number": "806-685-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N BROADWAY ST",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768212418",
            "telephone_number": "325-365-2538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Robert Lee",
            "state": "TX",
            "postal_code": "769455067",
            "country_code": "US",
            "telephone_number": "325-453-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETLIFF",
        "first_name": "LANDRY",
        "middle_name": "DAVID",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Runnels County Meals on Wheels
• Runnels County Rehabilitiation & Nursing Center 1 LP
• Susan Marie Schwertner, PT
• SDR Practices, LLC
• Senior Management Services of Heritage Oaks at Ballinger Inc
• Shaughn Sims DC Incorporated
• Shaughn Thomas Sims, D.C.
• Dolores Sinclair, FNP-C
• Sarah E Studer, PA-C
• Synertx Rehabilitation

• Occupational Therapy Assistant in Ballinger, TX
• Providers in Ballinger, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.