Mackenzie Alyse Gulley, MOT, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

329138 Issued in LA

Practice address

220 Park PL Ste 201
Covington, LA 70433-5267

Phone

(985) 898-2999

NPI assigned

Oct 25, 2021

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

Practice roles

Locations

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.

• Playful Connections Counseling LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Covington, LA
  • NPI 1023752474
  NPD
• Pediatric Therapy and Learning Center of the Northshore

  • Pediatric Occupational Therapist
  • Covington, LA
  • NPI 1851687198
  NPD (past)

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1134883242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HEAVENS DR APT 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716738",
            "telephone_number": "318-393-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PARK PL STE 201",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335267",
            "telephone_number": "985-898-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "MACKENZIE",
        "middle_name": "ALYSE",
        "credential": "MOT, LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "329138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulfsouth Critical Care LLC
• Gulfsouth Hospital Medicine LLC
• Gulfsouth Neurology LLC
• Gulfsouth Pulmonology, LLC (GulfSouth Pulmonary, LLC)
• Gulfsouth Pulmonology, LLC (dba - GulfSouth Pulmonary, LLC)
• Kailey Kieff Gulotta
• Bonnie Gumpert, LCSW
• Tina Patel Gunaldo, PT
• Florine Gundy, LCSW
• Sushma Gupta, M.D.

• 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 Oct 25, 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.