NPIMap

Individual provider Active NPI

Suzanne Ulmer, LOTR, CHT

  • Occupational Therapist
  • Baton Rouge, LA
National Provider Identifier
1154486231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z12031 Issued in LA
Practice address
8280 YMCA Plaza Dr
Ste. 3-a
Baton Rouge, LA 70810-0927
Phone
(225) 757-0164
Fax
(225) 757-8757
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Z12031 LA Primary

Addresses

Primary practice location

8280 YMCA Plaza Dr
Ste. 3-a
Baton Rouge, LA 70810-0927

Mailing address

8280 YMCA Plaza Dr
Ste. 3-a
Baton Rouge, LA 70810-0927
Phone (225) 757-0164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000453 LA Practitioner - Occupational Therapist in Private Practice 9133381361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Therapy Services, IncGroup PAC ID 0941298913, 4 clinicians
Action Therapy and Wellness Center, LLCGroup PAC ID 4082850623, 2 clinicians

Practice addresses (Care Compare)

12320 Hwy 44
Suite 3F
Gonzales, LA 70737-2202
Phone (225) 647-9505

211 E Worthy Rd
BLDG IV
Gonzales, LA 70737-4232
Phone (225) 644-7044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Z12031LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Rogers LLC Occupational Therapist CurrentSince Nov 8, 2022 Accepting new patients
Action Therapy & Wellness Center, LLC CurrentSince Jul 1, 2014 Accepting new patients
Lewy Physical Therapy Inc Past Accepting new patients

Locations

211 E Worthy St
Bldg Iv
Gonzales, LA 70737
Phone (225) 644-7044

Organizations & group practices 4

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154486231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR",
            "address_2": "STE. 3-A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-757-0164",
            "fax_number": "225-757-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR",
            "address_2": "STE. 3-A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-757-0164",
            "fax_number": "225-757-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "SUZANNE",
        "credential": "LOTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z12031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.