Individual provider Active NPI

Abby Gros Dufrene, LOTR

  • Occupational Therapist
  • Thibodaux, LA
National Provider Identifier
1215485891
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
301770 Issued in LA
Practice address
270 Highway 3185
Thibodaux, LA 70301-7466
Phone
(985) 449-0944
Fax
(985) 449-0945
NPI assigned
Sep 13, 2016
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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 301770 LA Primary

Addresses

Primary practice location

270 Highway 3185
Thibodaux, LA 70301-7466

Mailing address

270 Highway 3185
Thibodaux, LA 70301-7466
Phone (985) 449-0944

Other names 1

  • Ms. Abby Gros Former name

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

LicenseStateTypeSpecialty
301770LAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1215485891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HIGHWAY 3185",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703017466",
            "telephone_number": "985-449-0944",
            "fax_number": "985-449-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HIGHWAY 3185",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703017466",
            "telephone_number": "985-449-0944",
            "fax_number": "985-449-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRENE",
        "first_name": "ABBY",
        "middle_name": "GROS",
        "name_prefix": "Mrs.",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "301770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "GROS",
            "prefix": "MS.",
            "credential": "ABBY GROS, LOTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.