Individual provider Active NPI

Caroline Robichaux Boone, OTR

  • Hand Occupational Therapist
  • Raceland, LA
National Provider Identifier
1194351361
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
322107 Issued in LA
Practice address
120 White Rose Dr
Raceland, LA 70394-2644
Phone
(985) 532-9662
Fax
(985) 532-3942
NPI assigned
Mar 19, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 322107 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 names 1

  • Caroline Marie Robichaux Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611001250 LA Practitioner - Occupational Therapist in Private Practice 9335560721 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

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

808 Bayou LN
Thibodaux, LA 70301-4906
Phone (985) 447-3164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
322107LAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daigle Himel Daigle Physical Therapy Center and Rehabilitation Inc CurrentSince Aug 12, 2020 Accepting new patients
Orthopaedic Sports Specialists of Louisiana LLC CurrentSince Jun 3, 2020 Accepting new patients
Physiofit Physical Therapy, LLC Occupational Therapist CurrentSince Oct 5, 2020 Accepting new patients
Physiofit Physical Therapy, LLC Occupational Therapist CurrentSince Oct 5, 2020 Accepting new patients
Orthopaedic Sports Specialists of Louisiana, LLC CurrentSince Jun 3, 2020 Accepting new patients
Daigle,Himel & Daigle PT Center PastSince Aug 12, 2020 Accepting new patients

Locations

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

1105 Northwest Blvd
Franklin, LA 70538
Phone (337) 828-9729

125 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 223-4760

1321 Grand Caillou Rd
Houma, LA 70363
Phone (504) 876-1155

120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-9662

726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301

808 Bayou Ln
Thibodaux, LA 70301
Phone (985) 447-3164

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1194351361",
    "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",
            "fax_number": "985-532-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "CAROLINE",
        "middle_name": "ROBICHAUX",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "322107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "ROBICHAUX",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 1, 2020; 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.