Individual provider Active NPI

James Martin Rabalais III, LOTA

  • Occupational Therapy Assistant
  • Hammond, LA
National Provider Identifier
1629204433
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA.Z20478 Issued in LA
Practice address
45439 Live Oak Drive
Fiscal Department
Hammond, LA 70401
Phone
(225) 567-3111
Fax
(225) 567-2017
NPI assigned
Jun 8, 2009
Last updated
Jun 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.Z20478 LA Primary

Addresses

Primary practice location

45439 Live Oak Drive
Fiscal Department
Hammond, LA 70401

Mailing address

45439 Live Oak Drive
Fiscal Department
Hammond, LA 70401
Phone (225) 567-3111

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

LicenseStateTypeSpecialty
OTA.Z20478LAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1629204433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45439 LIVE OAK DRIVE",
            "address_2": "FISCAL DEPARTMENT",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70401",
            "telephone_number": "225-567-3111",
            "fax_number": "225-567-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45439 LIVE OAK DRIVE",
            "address_2": "FISCAL DEPARTMENT",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70401",
            "telephone_number": "225-567-3111",
            "fax_number": "225-567-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABALAIS III",
        "first_name": "JAMES",
        "middle_name": "MARTIN",
        "credential": "LOTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "OTA.Z20478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.