Shana Matherne
Individual provider Active NPI Occupational Therapy Assistant · Larose, LA
NPI 1447425335 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1447425335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 13343 West Main Street
Larose, LA 70373 - Phone
- (985) 798-7557
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007239034 | LA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therex | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | LA | Yes |
Addresses
Primary practice location
13343 West Main Street
Larose, LA 70373
Mailing address
P.O. Box 159
Larose, LA 70373
Phone (985) 798-7557
Other providers in Larose, LA
- John G Jackson
- Jay Vega MD.,a.P.M.C.
- Lafourche Parish Hospital Service District No. 1
- Lafourche Parish Hospital Service District No. 1
- Rebecca Gates Ledet
- Christine Dessauer McDaniel
- Physical Therapy Specialists Inc
- Physiofit LLC
- Physiofit Physical Therapy, LLC
- Blake P Pitre
All providers in Larose, LA · Occupational Therapy Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.