Organization Active NPI

Renaissance Rehabilitation Center of Houma, Inc

  • Occupational Therapist
  • Houma, LA
National Provider Identifier
1205809431
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z10831 Issued in LA
Legal business name
RENAISSANCE REHABILITATION CENTER OF HOUMA, INC
Practice address
1322 Saint Charles St
Houma, LA 70360-3961
Phone
(985) 876-9555
Fax
(985) 876-0180
NPI assigned
Feb 8, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Deron J Bland, PTNPI 1053336768
Title
Owner/President
Phone
(985) 876-9555

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)CodeLicenseStatePrimary
Physical Therapist 225100000X 00677 LA
Occupational Therapist 225X00000X Z10831 LA Primary

Addresses

Primary practice location

1322 Saint Charles St
Houma, LA 70360-3961

Mailing address

1322 Saint Charles St
Houma, LA 70360-3961
Phone (985) 876-9555

Other identifiers 2

IdentifierTypeStateIssuer
1124401MedicaidLA
B7842OtherLABLUE CROSS INSURANCE NO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000255 LA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9638267867 Practice locations: Houma, LA

National Provider Directory

National Provider Directory

Locations

1322 Saint Charles St
Houma, LA 70360
Phone (985) 876-9555

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205809431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 SAINT CHARLES ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603961",
            "telephone_number": "985-876-9555",
            "fax_number": "985-876-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 SAINT CHARLES ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603961",
            "telephone_number": "985-876-9555",
            "fax_number": "985-876-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE REHABILITATION CENTER OF HOUMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "DERON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "985-876-9555",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00677",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z10831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124401",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INSURANCE NO",
            "identifier": "B7842",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.