Marissa F Laurent, P.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

Z12326 Issued in LA

Practice address

10900 Highway 3125
Suite D
Lutcher, LA 70071-5639

Phone

(225) 869-0389

Fax

(225) 869-0271

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

Yes

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.

• Roussel Therapy Services, LLC

  • Speech-Language Pathologist
  • Lutcher, LA
  • NPI 1336879840

  LA, Physical Therapist

  Medicare reassignment NPD
• Brignac Physical Therapy, LLC

  • Clinic/Center
  • Gramercy, LA
  • NPI 1811049356
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2007.

{
    "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": []
}

• Carrion R Johnson
• Stephanie H Juarez, LCSW
• Adrain Landry
• Lane M Zimmer
• Lasting Smiles Dentistry
• Michelle M Leblanc
• Louisiana Homecare of Lutcher, LLC
• Lutcher Family Clinic
• Peyton Madere, SLP
• Tamara Marchetta, L/OTR

• All providers in Lutcher, LA
• Occupational Therapist in Louisiana

• 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.

Verify at the official NPI Registry.