Active NPI
John Scott Hidalgo, OT
- Occupational Therapist
- Opelousas, LA
National Provider Identifier
1295959401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- Z11534
- Practice address
- 4027 I 49 S Service Rd
Opelousas, LA 70570-0757 - Phone
- (337) 948-4212
- Fax
- (337) 942-9979
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Z11534 | LA | Primary |
Addresses
Primary practice location
4027 I 49 S Service Rd
Opelousas, LA 70570-0757
Mailing address
420 W Pinhook Rd
Suite a
Lafayette, LA 70503-2131
Phone (337) 233-1307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTT.Z11534 | Other | LA | OT LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Rue Louis Xiv
Lafayette, LA 70508-5739
Phone (337) 889-3098
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z11534 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Orthopaedic Specialists, LLC | Past | Accepting new patients | |
| Louisiana Orthopaedic Specialists, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Lafayette, LA
- NPI 1831497932
-
- Clinic/Center
- Lafayette, LA
- NPI 1063669612
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, LA
- NPI 1588242747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295959401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W PINHOOK RD",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032131",
"telephone_number": "337-233-1307",
"fax_number": "337-942-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4027 I 49 S SERVICE RD",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705700757",
"telephone_number": "337-948-4212",
"fax_number": "337-942-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "JOHN",
"middle_name": "SCOTT",
"name_prefix": "Prof.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "Z11534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE #",
"identifier": "OTT.Z11534",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.