Individual provider Active NPI

Jacee Truax, MOT, LOTR

  • Pediatric Occupational Therapist
  • Livingston, LA
National Provider Identifier
1114678893
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
328945 Issued in LA
Practice address
28975 S Satsuma Rd Ste F
Livingston, LA 70754-2185
Phone
(225) 292-4138
Fax
(225) 636-2940
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 328945 LA Primary

Addresses

Primary practice location

28975 S Satsuma Rd Ste F
Livingston, LA 70754-2185

Mailing address

18268 Petroleum Dr
Baton Rouge, LA 70809-6126
Phone (225) 292-4138

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

LicenseStateTypeSpecialty
328945LAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilities Pediatric Therapy Clinic Pediatrics CurrentSince Jan 21, 2022 Accepting new patients
Listening Earfects PastSince Jan 21, 2022 Accepting new patients

Locations

18268 Petroleum Dr
Baton Rouge, LA 70809
Phone (225) 292-4138

28975 S Satsuma Rd
Ste F
Livingston, LA 70754
Phone 2252924138 ext. 3

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1114678893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18268 PETROLEUM DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708096126",
            "telephone_number": "225-292-4138",
            "fax_number": "225-636-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28975 S SATSUMA RD STE F",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707542185",
            "telephone_number": "225-292-4138",
            "fax_number": "225-636-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUAX",
        "first_name": "JACEE",
        "credential": "MOT, LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "328945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.