Debra Mathews Beaubouef, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

Z12503 Issued in LA

Practice address

50 Pinecrest Dr
Pineville, LA 71360-4283

Phone

(318) 640-9656

NPI assigned

May 28, 2019

Last updated

May 28, 2019By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1316504111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PINECREST DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604283",
            "telephone_number": "318-640-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PINECREST DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604283",
            "telephone_number": "318-640-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUBOUEF",
        "first_name": "DEBRA",
        "middle_name": "MATHEWS",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z12503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "oakscc@affiliatedrehab.com",
            "affiliation": "N",
            "address_1": "50 Pinecrest Dr",
            "city": "Pineville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713604283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapist in Pineville, LA
• Providers in Pineville, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.