Sprout Pediatric Therapy Services, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SPROUT PEDIATRIC THERAPY SERVICES, LLC

Practice address

56309 Currier LN
Loranger, LA 70446-2749

Phone

(985) 351-1394

Fax

(985) 878-9781

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon B StevensNPI 1922139500

Title

Owner/Manager

Phone

(985) 351-1394

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Shannon Barrilleaux Stevens, LOTR

  • Occupational Therapist
  • Loranger, LA
  • NPI 1922139500
  NPD Authorized official
• Kristy McCoy Ganucheau, LOTR

  • Occupational Therapist
  • New Orleans, LA
  • NPI 1538416797
  NPD (past)
• Brittany Cotogno Rickerson, SLP-A

  • Speech-Language Pathologist
  • Loranger, LA
  • NPI 1164717310
  NPD (past)

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1255907572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56309 CURRIER LN",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704462749",
            "telephone_number": "985-351-1394",
            "fax_number": "985-878-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56309 CURRIER LN",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704462749",
            "telephone_number": "985-351-1394",
            "fax_number": "985-878-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT PEDIATRIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "985-351-1394",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Simpson, LPC, LLC
• Ashley Siliezar Kinchen, LCSW
• Amanda Nethery Smith, PHARMD
• Deanna Smith
• Leemarie M Spatafora, LPC
• Sprout Pediatric Therapy Services, LLC
• Shannon Barrilleaux Stevens, LOTR
• Total Family Medical, LLC (Total Family Medical of Loranger)
• Shana Michell Turnage
• Java Harrell Weathersby, LOT

• Early Intervention Provider Agency in Loranger, LA
• Providers in Loranger, LA by specialty
• Early Intervention Provider Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.