Individual provider Active NPI

Blake Pounds

  • Occupational Therapist
  • Hammond, LA
National Provider Identifier
1275103574
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3327798 Issued in LA
Practice address
1242 S Morrison Blvd Ste O
Hammond, LA 70403-5702
Phone
(985) 402-3103
Fax
(985) 247-8229
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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 3327798 LA Primary

Addresses

Primary practice location

1242 S Morrison Blvd Ste O
Hammond, LA 70403-5702

Mailing address

1242 S Morrison Blvd Ste O
Hammond, LA 70403-5702
Phone (985) 402-3103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722000632 LA Practitioner - Occupational Therapist in Private Practice 5799188157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Plus LLCGroup PAC ID 8628481967, 3 clinicians

Practice addresses (Care Compare)

1242 S Morrison Blvd
Suite O
Hammond, LA 70403-5702
Phone (985) 402-3103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3327798LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Plus, LLC Occupational Therapist CurrentSince Jun 10, 2021 Accepting new patients

Locations

1242 S Morrison Blvd
Ste O
Hammond, LA 70403
Phone (985) 402-3103

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.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1275103574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 S MORRISON BLVD STE O",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035702",
            "telephone_number": "985-402-3103",
            "fax_number": "985-247-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 S MORRISON BLVD STE O",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035702",
            "telephone_number": "985-402-3103",
            "fax_number": "985-247-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNDS",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "3327798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.