Sadie Michelle Boudreaux, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

323435 Issued in LA

Practice address

120 White Rose Dr
Raceland, LA 70394-2644

Phone

(985) 532-9662

Fax

(985) 532-3942

NPI assigned

Apr 25, 2022

Last updated

Apr 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sadie Michelle Leblanc Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1518601798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WHITE ROSE DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942644",
            "telephone_number": "985-532-9662",
            "fax_number": "985-532-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "SADIE",
        "middle_name": "MICHELLE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "323435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADIE",
            "last_name": "LEBLANC",
            "middle_name": "MICHELLE",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tommy Blanchard, LAT, ATC
• Catherine Waitz Bonneval
• Eugene Booher, CRNA
• Caroline Robichaux Boone, OTR
• Jonathan James Boudreaux, D.C.
• Jill Renee' Brady, OTR
• Angela Bramande
• Freddie Samuel Breaux III, PT
• Adele Elise Broussard, PA-C
• April Theresa Brunet

• Occupational Therapy Assistant in Raceland, LA
• Providers in Raceland, LA by specialty
• Occupational Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.