Active NPI
Marissa F Laurent, P.T.
- Occupational Therapist
- Lutcher, LA
National Provider Identifier
1407056898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- Z12326
- Practice address
- 10900 Highway 3125
Suite D
Lutcher, LA 70071-5639 - Phone
- (225) 869-0389
- Fax
- (225) 869-0271
- NPI assigned
- Jul 23, 2007
- Last updated
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06300 | LA | |
| Occupational Therapist | 225X00000X | Z12326 | LA | Primary |
Addresses
Primary practice location
10900 Highway 3125
Suite D
Lutcher, LA 70071-5639
Mailing address
10900 Highway 3125
Suite D
Lutcher, LA 70071-5639
Phone (225) 869-0389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1959 Hwy 3125
Lutcher, LA 70071-5641
Phone (225) 258-9301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06300 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roussel Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Brignac Physical Therapy, LLC | Past | Accepting new patients |
Locations
1959 Highway 3125
Ste 3
Lutcher, LA 70071
Phone (225) 247-5663
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Lutcher, LA
- NPI 1336879840
Physical Therapist
-
- Clinic/Center
- Gramercy, LA
- NPI 1811049356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1407056898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 HIGHWAY 3125",
"address_2": "SUITE D",
"city": "LUTCHER",
"state": "LA",
"postal_code": "700715639",
"telephone_number": "225-869-0389",
"fax_number": "225-869-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 HIGHWAY 3125",
"address_2": "SUITE D",
"city": "LUTCHER",
"state": "LA",
"postal_code": "700715639",
"telephone_number": "225-869-0389",
"fax_number": "225-869-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENT",
"first_name": "MARISSA",
"middle_name": "F",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06300",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "Z12326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutcher, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.