Individual provider Active NPI

Jill Hurley, COTR,CHT

  • Occupational Therapist
  • Lafayette, LA
National Provider Identifier
1407856008
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z11784 Issued in LA
Practice address
2727 Kaliste Saloom Rd
Lafayette, LA 70508-7151
Phone
(337) 981-4053
Fax
(337) 981-2448
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Z11784 LA Primary

Addresses

Primary practice location

2727 Kaliste Saloom Rd
Lafayette, LA 70508-7151

Mailing address

2727 Kaliste Saloom Rd
Lafayette, LA 70508-7164
Phone (337) 981-4053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000100 LA Practitioner - Occupational Therapist in Private Practice 8527138049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthe LLCGroup PAC ID 4587739875, 8 clinicians

Practice addresses (Care Compare)

300 Rue Beauregard
Lafayette, LA 70508-8511
Phone (337) 261-9188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Z11784LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthe, L.L.C. Occupational Therapist CurrentSince Aug 20, 2008 Accepting new patients
Physical Therapy Clinic of Lafayette, Inc. Occupational Therapist PastSince Jul 15, 1999 Accepting new patients
Physical Therapy Clinic of Lafayette, LLC Occupational Therapist Past Accepting new patients
Bravo Therapy Services, Inc. Occupational Therapist PastSince Oct 29, 2015 Accepting new patients
Laborde Therapy Center LLC Occupational Therapist PastSince Sep 21, 2000 Accepting new patients
Matthew Mack Abraham, LLC Past Accepting new patients
Laborde Hand and Occupational Therapy Center Occupational Therapist Past Accepting new patients

Locations

300 Rue Beauregard
Ste H
Lafayette, LA 70508
Phone (337) 261-9188

101 La Rue France
Ste 304
Lafayette, LA 70508
Phone (337) 233-3880

300 Rue Beauregard
Ste G
Lafayette, LA 70508
Phone (337) 261-9188

Organizations & group practices 7

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1407856008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087164",
            "telephone_number": "337-981-4053",
            "fax_number": "337-981-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087151",
            "telephone_number": "337-981-4053",
            "fax_number": "337-981-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "COTR,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z11784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.