Individual provider Active NPI

Marissa Anne Guedry, MSOT, OTR/L

  • Occupational Therapist
  • Baton Rouge, LA
National Provider Identifier
1316404346
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
311891 Issued in LA
Practice address
7069 Perkins Rd Ste a
Baton Rouge, LA 70808-7201
Phone
(225) 769-6161
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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 311891 LA Primary

Addresses

Primary practice location

7069 Perkins Rd Ste a
Baton Rouge, LA 70808-7201

Mailing address

7069 Perkins Rd Ste a
Baton Rouge, LA 70808-7201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318001390 LA Practitioner - Occupational Therapist in Private Practice 2961742531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge Orthopaedic Clinic LLCGroup PAC ID 3274446414, 142 clinicians

Practice addresses (Care Compare)

8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
311891LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy Limited Partnership CurrentSince Jul 1, 2021 Accepting new patients
Baton Rouge Orthopaedic Clinic CurrentSince Mar 28, 2022 Accepting new patients
Baton Rouge Orthopaedic Clinic, LLC Occupational Therapist CurrentSince Mar 28, 2022 Accepting new patients
Peak Performance Physical Therapy Limited Partnership CurrentSince Jul 1, 2021 Accepting new patients

Locations

7069 Perkins Rd
Ste A
Baton Rouge, LA 70808
Phone (225) 769-6161

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

6756 Langley Dr
#A
Baton Rouge, LA 70809

6756 Langley Dr
Baton Rouge, LA 70809
Phone (225) 663-8232

145 Aspen Sq
#A
Denham Springs, LA 70726
Phone (225) 667-8989

4463 Hwy 1 S
Ste D
Port Allen, LA 70767
Phone (225) 749-8980

Organizations & group practices 4

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1316404346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7069 PERKINS RD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708087201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7069 PERKINS RD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708087201",
            "telephone_number": "225-769-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEDRY",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "311891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.