Individual provider Active NPI

Jamie Trichel, COTA

  • Occupational Therapist
  • Shreveport, LA
National Provider Identifier
1477107100
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
345199 Issued in LA
Practice address
1800 Buckner St Ste C249
Shreveport, LA 71101-4447
Phone
(318) 934-1969
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 308109 LA
Occupational Therapist 225X00000X 345199 LA Primary

Addresses

Primary practice location

1800 Buckner St Ste C249
Shreveport, LA 71101-4447

Mailing address

1800 Buckner St Ste C249
Shreveport, LA 71101-4447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225001634 LA Practitioner - Occupational Therapist in Private Practice 0042730707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308109LAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Massey Physical Therapy Inc Occupational Therapist CurrentSince Jan 24, 2025 Accepting new patients
Melanie Massey Infant & Toddler LLC Occupational Therapist Past Accepting new patients
Riley Physical Therapy, Inc Occupational Therapist PastSince Oct 1, 2019 Accepting new patients

Locations

1800 Buckner St
Ste 249
Shreveport, LA 71101

1800 Buckner St
Ste C249
Shreveport, LA 71101
Phone (318) 934-1969

107 Summer Ln
West Monroe, LA 71291
Phone (318) 396-1969

Organizations & group practices 3

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1477107100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST STE C249",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST STE C249",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014447",
            "telephone_number": "318-934-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICHEL",
        "first_name": "JAMIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "308109",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "345199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.