Active NPI
Katherine Adcock Boyd, OTR/L
- Occupational Therapist
- Baton Rouge, LA
National Provider Identifier
1194218743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.200604
- Practice address
- 5130 Mancuso LN
Baton Rouge, LA 70809-3583 - Phone
- (225) 490-9600
- NPI assigned
- Jun 8, 2018
- Last updated
- Jun 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT.200604 | LA | Primary |
Addresses
Primary practice location
5130 Mancuso LN
Baton Rouge, LA 70809-3583
Mailing address
18242 Oak Lane Ave
Baton Rouge, LA 70816-3718
Phone (502) 640-5040
Other practice location 1
333 Lee Dr
Baton Rouge, LA 70808-4980
Phone (225) 215-4500
Other names 1
- Miss Katherine Michelle Adcock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.200604 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1194218743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18242 OAK LANE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708163718",
"telephone_number": "502-640-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 MANCUSO LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093583",
"telephone_number": "225-490-9600"
}
],
"practiceLocations": [
{
"address_1": "333 Lee Dr",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708084980",
"country_code": "US",
"telephone_number": "225-215-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "KATHERINE",
"middle_name": "ADCOCK",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.200604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "ADCOCK",
"middle_name": "MICHELLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.