Active NPI
Joli Bagot Bryan, OT
- Occupational Therapist
- Baton Rouge, LA
National Provider Identifier
1225164841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTA.Z20260
- Practice address
- 10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810-1685 - Phone
- (225) 769-2200
- Fax
- (225) 768-2185
- NPI assigned
- Feb 26, 2007
- 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 | OTA.Z20260 | LA | Primary |
Addresses
Primary practice location
10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810-1685
Mailing address
PO Box 98509
Baton Rouge, LA 70884-9509
Phone (225) 769-2200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.Z20260 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1225164841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98509",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708849509",
"telephone_number": "225-769-2200",
"fax_number": "225-768-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 PARK ROWE AVE STE 200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101685",
"telephone_number": "225-769-2200",
"fax_number": "225-768-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "JOLI",
"middle_name": "BAGOT",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTA.Z20260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.