Individual provider Active NPI

Kylie Danielle Perioux, LOTR/MOT

  • Occupational Therapist
  • Lake Charles, LA
National Provider Identifier
1144133182
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
308395 Issued in LA
Practice address
5650 Weaver Rd
Lake Charles, LA 70605-5248
Phone
(318) 475-0191
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 308395 LA Primary

Addresses

Primary practice location

5650 Weaver Rd
Lake Charles, LA 70605-5248

Mailing address

2115 Pin Oak CT
Lake Charles, LA 70605-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1144133182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PIN OAK CT",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 WEAVER RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055248",
            "telephone_number": "318-475-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIOUX",
        "first_name": "KYLIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LOTR/MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "308395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.