Individual provider Active NPI

Kelseigh Hughes Gruezke, OT

  • Occupational Therapist
  • Metairie, LA
National Provider Identifier
1437702750
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
305478 Issued in LA
Practice address
4228 Houma Blvd Ste 600
Metairie, LA 70006-3000
Phone
(504) 454-3106
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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 305478 LA Primary

Addresses

Primary practice location

4228 Houma Blvd Ste 600
Metairie, LA 70006-3000

Mailing address

221 Beverly Dr
Metairie, LA 70001-5404
Phone (985) 974-5786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926000390 LA Practitioner - Occupational Therapist in Private Practice 8426388919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaughlin Physical Therapy LLCGroup PAC ID 5991174518, 6 clinicians

Practice addresses (Care Compare)

3120 20TH St
Metairie, LA 70002-4913
Phone (504) 231-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305478LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McLaughlin Physical Therapy LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

3120 20th St
Metairie, LA 70002
Phone (504) 231-8881

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1437702750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BEVERLY DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015404",
            "telephone_number": "985-974-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 600",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-454-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUEZKE",
        "first_name": "KELSEIGH",
        "middle_name": "HUGHES",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "305478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.