Active NPI
Renaissance Rehabilitation Center of Houma, Inc
- Occupational Therapist
- Houma, LA
National Provider Identifier
1205809431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- Z10831
- 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, 2025
- 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
- Deron J Bland, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124401 | Medicaid | LA | |
| B7842 | Other | LA | BLUE CROSS INSURANCE NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071121000255 | LA | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 9638267867 | Practice locations: Houma, LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Houma, LA
- NPI 1053336768
-
- Physical Therapist
- Houma, LA
- NPI 1861831968
-
- Occupational Therapist
- Houma, LA
- NPI 1588689202
-
- Occupational Therapist
- Houma, LA
- NPI 1861655946
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
- Rachel S Reaves, NP
- Recovery Chiromed of Houma
- Marsha Howze Redden, PHD
- Regions Community Behavorial Health Center of Houma, Inc.
- Reliant Renal Care Louisiana LLC (RRC Houma)
- Renewed Blossom Counseling, LLC
- Melanie Vega Renner, M.D.
- Caroline Reulet
- Revive Counseling and Consulting LLC (Revive Counseling and Consulting)
- Kimberly L Reynolds, LPC
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.