Active NPI
Comprehensive Rehabilitation
- Early Intervention Provider Agency
- Patterson, LA
National Provider Identifier
1164957460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- Z10870
- Legal business name
- COMPREHENSIVE REHABILITATION
- Practice address
- 306 Charlotte Dr
Patterson, LA 70392-4148 - Phone
- (985) 714-0923
- NPI assigned
- Apr 24, 2017
- Last updated
- Apr 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colleen Gray White, LOTR
- Title
- Occupational Therapist
- Phone
- (985) 714-0923
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Z10870 | LA | Primary |
| Early Intervention Provider Agency | 252Y00000X | 4720 | LA |
Addresses
Primary practice location
306 Charlotte Dr
Patterson, LA 70392-4148
Mailing address
306 Charlotte Dr
Patterson, LA 70392-4148
Phone (985) 714-0923
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Patterson, LA
- NPI 1457517237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492992000000",
"number": "1164957460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 CHARLOTTE DR",
"city": "PATTERSON",
"state": "LA",
"postal_code": "703924148",
"telephone_number": "985-714-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 CHARLOTTE DR",
"city": "PATTERSON",
"state": "LA",
"postal_code": "703924148",
"telephone_number": "985-714-0923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-24",
"last_updated": "2017-04-24",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "GRAY",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "985-714-0923",
"authorized_official_credential": "LOTR"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "LA",
"license": "Z10870",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "LA",
"license": "4720",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patterson, LA
- Verna Allen
- Mary Babin
- Stephanie Turner Bartley, DIRECTOR
- Bayoulink Medical Transportation, LLC
- C &S Medical Transportation LLC
- Courtney Monique Dugar, PMHNP-BC
- Excellence in Total Care LLC (Patterson Total Care Clinic)
- Fourco Inc (Fournet's Pharmacy)
- Fourco, Inc (Fournet's Pharmacy Patterson and Home Medical)
- Golden Chariot Transport, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.