Individual provider Active NPI

Alex Rome

  • Occupational Therapist
  • Plaquemine, LA
National Provider Identifier
1447083662
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
343295 Issued in LA
Practice address
59295 River West Dr Ste G
Plaquemine, LA 70764-6597
Phone
(225) 238-2955
Fax
(225) 238-2958
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 343295 LA Primary

Addresses

Primary practice location

59295 River West Dr Ste G
Plaquemine, LA 70764-6597

Mailing address

4324 S Sherwood Forest Blvd Ste B170
Baton Rouge, LA 70816-4481
Phone (337) 469-3004

Other practice location 1

4845 Main St # C
Zachary, LA 70791-3943
Phone (225) 286-0181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906001253 LA Practitioner - Occupational Therapist in Private Practice 4789124611 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moreau Physical Therapy Inc. Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients
Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients
Moreau Physical Therapy Walker, LLC Current Accepting new patients
Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Occupational Therapist Past Accepting new patients

Locations

4971 Groom Rd
Baker, LA 70714
Phone (225) 775-3145

11424 Sullivan Rd
#A-C
Baton Rouge, LA 70818
Phone (225) 261-7021

3129 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-2076

4314 S Sherwood Forest Blvd
Ste A150
Baton Rouge, LA 70816
Phone (225) 275-3177

4324 S Sherwood Frst
Ste B170
Baton Rouge, LA 70816

9808 Bluebonnet Blvd
#201
Baton Rouge, LA 70810
Phone (225) 202-6124

577 W Highway 30
Ste D
Gonzales, LA 70737
Phone (225) 462-2233

59295 River West Dr
Ste G
Plaquemine, LA 70764
Phone (225) 238-2955

17534 Old Jefferson Hwy
Ste A1
Prairieville, LA 70769
Phone (225) 673-4370

4845 Main St
#C
Zachary, LA 70791
Phone (225) 286-0181

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1447083662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S SHERWOOD FOREST BLVD STE B170",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164481",
            "telephone_number": "337-469-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59295 RIVER WEST DR STE G",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646597",
            "telephone_number": "225-238-2955",
            "fax_number": "225-238-2958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Main St # C",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707913943",
            "country_code": "US",
            "telephone_number": "225-286-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROME",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "343295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.