Ann Marie Lebas, MOT, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

328136 Issued in LA

Practice address

612 Holy Trinity Dr
Covington, LA 70433-6229

Phone

(985) 643-5630

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1124785639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17157 KAYLA DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704548523",
            "telephone_number": "225-763-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 HOLY TRINITY DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336229",
            "telephone_number": "985-643-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "70454",
            "country_code": "US",
            "telephone_number": "985-229-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBAS",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "MOT, LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "328136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.