Jacki Walczak, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

301781 Issued in LA

Practice address

8300 Earhart Blvd
New Orleans, LA 70118-4428

Phone

(504) 866-6990

NPI assigned

Nov 1, 2016

Last updated

Nov 1, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Crane Rehab Center

  • Occupational Therapist
  • Metairie, LA
  • NPI 1649517723
  NPD (past)

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1295287688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 EARHART BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184428",
            "telephone_number": "504-866-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 EARHART BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184428",
            "telephone_number": "504-866-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZAK",
        "first_name": "JACKI",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "301781",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5919-26",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Walmart Vision Center 30-0912)
• Wal-Mart Stores Louisiana, LLC (Vision Center 30-1163)
• Wal-Mart Stores, Inc. (Vision Center 30-5022)
• Nicolette Walano, MS CGC
• Sharon Walch
• Mikeli Waldei
• Daniel Isaac Waldman
• Bernard W. Waldmann, PH.D.
• Stephen M. Waldo, M.D.
• Sean Robert Waldron, MD

• Occupational Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.