Active NPI
Anne Detwiler
- Occupational Therapist
- Pineville, LA
National Provider Identifier
1548828833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 311409
- Practice address
- 2840 Military Hwy
Pineville, LA 71360-4337 - Phone
- (318) 704-5304
- Fax
- (318) 704-5821
- NPI assigned
- May 31, 2019
- Sex
- Female
- 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 | 311409 | LA | Primary |
Addresses
Primary practice location
2840 Military Hwy
Pineville, LA 71360-4337
Mailing address
5307 Shoreline Dr
New Iberia, LA 70563-3335
Phone (337) 519-1961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311409 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1548828833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5307 SHORELINE DR",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705633335",
"telephone_number": "337-519-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 MILITARY HWY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604337",
"telephone_number": "318-704-5304",
"fax_number": "318-704-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETWILER",
"first_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "LA",
"license": "311409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.