Individual provider Active NPI

Jillian B Lee, OT

  • Occupational Therapist
  • Raceland, LA
National Provider Identifier
1184471708
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
340995 Issued in LA
Practice address
120 White Rose Dr
Raceland, LA 70394-2644
Phone
(985) 532-9662
NPI assigned
May 1, 2024
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 340995 LA Primary

Addresses

Primary practice location

120 White Rose Dr
Raceland, LA 70394-2644

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5051
Phone (985) 625-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224003688 LA Practitioner - Occupational Therapist in Private Practice 2163942970 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services la LLCGroup PAC ID 7214309079, 24 clinicians

Practice addresses (Care Compare)

Baton Rouge, LA 70836
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
340995LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Specialists of Louisiana LLC CurrentSince Dec 23, 2024 Accepting new patients
Physiofit Louisiana LLC Occupational Therapist CurrentSince Mar 10, 2025 Accepting new patients
Physiofit Physical Therapy, LLC Occupational Therapist CurrentSince Mar 10, 2025 Accepting new patients
Physiofit Physical Therapy, LLC Occupational Therapist CurrentSince Mar 10, 2025 Accepting new patients
Orthopaedic Sports Specialists of Louisiana, LLC CurrentSince Dec 23, 2024 Accepting new patients
Fox Rehabilitation Services la LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1700 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 269-1161

120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-2229

200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029

726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1184471708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WHITE ROSE DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942644",
            "telephone_number": "985-532-9662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 N Acadia Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703015051",
            "country_code": "US",
            "telephone_number": "985-625-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JILLIAN",
        "middle_name": "B",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "340995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.