Individual provider Active NPI

John Scott Hidalgo, OT

  • Occupational Therapist
  • Opelousas, LA
National Provider Identifier
1295959401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z11534 Issued in LA
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
OTT.Z11534OtherLAOT LICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200520002200 LA Practitioner - Occupational Therapist in Private Practice 5698106920 Reassigns benefits to 1 organization

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
Louisiana Orthopaedic Specialists LLCGroup PAC ID 1850469305, 71 clinicians

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

LicenseStateTypeSpecialty
Z11534LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.