Julie Bird, LOTR

Individual provider Active NPI Occupational Therapist · Jena, LA

NPI 1285751644 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285751644
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
Z12353 (LA)
Practice address
187 Ninth St
Jena, LA 71342-2780
Phone
(318) 992-9200
Fax
(318) 992-9280
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
Z12353LAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Z12353 LA Yes

Addresses

Primary practice location

187 Ninth St
Jena, LA 71342-2780

Mailing address

187 Ninth St
Jena, LA 71342-2780
Phone (318) 992-9200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285751644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 NINTH ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713422780",
            "telephone_number": "318-992-9200",
            "fax_number": "318-992-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 NINTH ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713422780",
            "telephone_number": "318-992-9200",
            "fax_number": "318-992-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "JULIE",
        "credential": "LOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z12353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jena, LA

All providers in Jena, LA · Occupational Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.