Mary Camp, MOT, LOTR

Individual provider Active NPI Pediatric Occupational Therapist · Livingston, LA

NPI 1376972430 · NPPES record last updated May 2, 2024

Key facts

NPI
1376972430
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OTT.200682 (LA)
Practice address
13909 Florida Blvd
Livingston, LA 70754-6340
Phone
(225) 292-4138
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTT.200682LAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Parish School System Past
since May 7, 2024
Accepting new patients
Listening Earfects Past Accepting new patients
Abilities Pediatric Therapy Clinic Pediatrics Past
since Aug 30, 2020
Accepting new patients
Livingston Parish School System Past
since May 7, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTT.200682 LA Yes

Addresses

Primary practice location

13909 Florida Blvd
Livingston, LA 70754-6340

Mailing address

13909 Florida Blvd
Livingston, LA 70754-6340

Other providers in Livingston, LA

All providers in Livingston, LA · Pediatric Occupational Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.