Rebecca Bloomer Gilley

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.Z12394 Issued in LA

Practice address

5522 Ambassador Caffery Pkwy
Youngsville, LA 70592-5279

Phone

(337) 703-6300

NPI assigned

Aug 13, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1578394169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BIRDWATCH LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088172",
            "telephone_number": "337-315-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 AMBASSADOR CAFFERY PKWY",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925279",
            "telephone_number": "337-703-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "REBECCA",
        "middle_name": "BLOOMER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.Z12394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katina F Gary
• Indira Gautam, MD
• Aleice Wilmore Gauthier, LMSW
• Jeanie Marie Gauthier
• Taylor Genest, LMT
• Luciana Girouard
• Andrew Gossen
• Chaslie Jamelle Granger, LICENSED MASSAGE THE
• Gary J. Granger, O.D.
• Mariah Gray

• Occupational Therapist in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.