Greta Gremillion Bordelon, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.200388 Issued in LA

Practice address

7406 Highway 1 Ste 102
Mansura, LA 71350-4230

Phone

(318) 240-7680

Fax

(318) 240-7681

NPI assigned

Jun 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Greta A Gremillion Former name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lemoine Therapy Services of Cenla IncGroup PAC ID 4789635244, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lemoine Therapy Services of Cenla Inc

  • Physical Therapist
  • Mansura, LA
  • NPI 1336242767

  LA, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapy Clinic of Carencro LLC

  • Physical Therapist
  • Carencro, LA
  • NPI 1669557906
  NPD (past)
• Therapy Center of Jefferson Davis Parish, Inc

  • Physical Therapist
  • Jennings, LA
  • NPI 1508971045

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1275844722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705460849",
            "telephone_number": "337-824-8287",
            "fax_number": "337-824-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 HIGHWAY 1 STE 102",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504230",
            "telephone_number": "318-240-7680",
            "fax_number": "318-240-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "GRETA",
        "middle_name": "GREMILLION",
        "name_prefix": "Ms.",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "200388",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETA",
            "last_name": "GREMILLION",
            "middle_name": "A",
            "credential": "LOTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Dixon Andress, R.N.
• Sheakena Augustine
• Katelyn M Bellelo, PT, DPT
• Madeline A Bonnette, MS, CCC-SLP
• Emily R Bordelon, PTA
• Meridith L Boudreaux, PTA
• Bradley Medical Supply LLC
• Charolettea Brown
• Hope Sharae Bryant, FNP
• Mary Chenevert, MS, CF-SLP

• All providers in Mansura, LA
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.