Individual provider Active NPI

Baily Elizabeth Barnett, OTA

  • Occupational Therapy Assistant
  • Oak Grove, LA
National Provider Identifier
1396507679
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
340213 Issued in LA
Practice address
5445 Highway 2
Oak Grove, LA 71263-8365
Phone
(318) 428-4025
Fax
(318) 428-4796
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 340213 LA Primary

Addresses

Primary practice location

5445 Highway 2
Oak Grove, LA 71263-8365

Mailing address

5445 Highway 2
Oak Grove, LA 71263-8365
Phone (318) 428-4025

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
340213LAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Green Gables Therapy LLC CurrentSince Jan 28, 2024 Accepting new patients

Locations

5445 Highway 2
Oak Grove, LA 71263
Phone (318) 428-4025

Organizations & group practices 1

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1396507679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 HIGHWAY 2",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712638365",
            "telephone_number": "318-428-4025",
            "fax_number": "318-428-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 HIGHWAY 2",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712638365",
            "telephone_number": "318-428-4025",
            "fax_number": "318-428-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "BAILY",
        "middle_name": "ELIZABETH",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "340213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.