Active NPI
Kyle O Hotard
- Occupational Therapist
- Raceland, LA
National Provider Identifier
1598705162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- Z11731
- Practice address
- 115 Johnny Dufrene Dr
Raceland, LA 70394-2611 - Phone
- (985) 532-9662
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 | Z11731 | LA | Primary |
Addresses
Primary practice location
115 Johnny Dufrene Dr
Raceland, LA 70394-2611
Mailing address
310 N Moss Dr
Houma, LA 70360-3955
Phone (985) 804-3194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1820261 | Medicaid | LA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z11731 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1598705162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N MOSS DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703603955",
"telephone_number": "985-804-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 JOHNNY DUFRENE DR",
"city": "RACELAND",
"state": "LA",
"postal_code": "703942611",
"telephone_number": "985-532-9662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOTARD",
"first_name": "KYLE",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "Z11731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1820261",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raceland, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.