Lacey C Richard, OT

Key facts

NPI

1245677707

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

200556 (LA)

Practice address

270 Highway 3185
Thibodaux, LA 70301-7466

Phone

(985) 449-0944

Fax

(985) 449-0945

NPI assigned

May 23, 2013

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Pediatric Therapy,LLC Pediatric Physical Therapist · Thibodaux, LA · NPI 1982825774
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2014.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1245677707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LEE DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013962",
            "telephone_number": "985-859-2748"
        },
        {
            "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": "RICHARD",
        "first_name": "LACEY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "200556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT BOARD",
            "identifier": "OT200556",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rescare, Inc.
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• Richard a Morvant Jr MD Apmc
• Brooke Richard, PA-C
• Jennifer Richard
• Lanny Joseph Richard, RPH
• Phylis B Richard, LPC
• Shakara Richard
• Ashli Richardson, LPC, NCC
• Bre'Aishala Richardson

All providers in Thibodaux, LA · Occupational Therapist in Louisiana