Active NPI
Jesse A Dean, LOTR
- Occupational Therapist
- New Orleans, LA
National Provider Identifier
1477201432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 310873
- Practice address
- 767 Conrad St
New Orleans, LA 70124-3562 - Phone
- (504) 520-9365
- NPI assigned
- Mar 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 310873 | LA | Primary |
Addresses
Primary practice location
767 Conrad St
New Orleans, LA 70124-3562
Mailing address
767 Conrad St
New Orleans, LA 70124-3562
Phone (504) 520-9365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230504001337 | LA | Practitioner - Occupational Therapist in Private Practice | 7719342310 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4228 Houma Blvd
Suite 600B
Metairie, LA 70006-3023
Phone (504) 454-2191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310873 | LA | MD | Occupational Therapist |
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": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1477201432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 CONRAD ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701243562",
"telephone_number": "504-520-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 CONRAD ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701243562",
"telephone_number": "504-520-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "JESSE",
"middle_name": "A",
"credential": "LOTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "310873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.