Active NPI
Premier Pediatric Therapy LLC
- Occupational Therapist
- West Monroe, LA
National Provider Identifier
1629965728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- PREMIER PEDIATRIC THERAPY LLC
- Practice address
- 337 M Bunn Rd
West Monroe, LA 71292-0215 - Phone
- (318) 366-0649
- NPI assigned
- Jun 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Smith, MOT, LOTR
- Title
- Owner/Therapist
- Phone
- (318) 366-0649
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
337 M Bunn Rd
West Monroe, LA 71292-0215
Mailing address
337 M Bunn Rd
West Monroe, LA 71292-0215
Phone (318) 366-0649
Other names 1
- Premier Pediatric Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Ruston, LA
- NPI 1194421297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750377600000",
"number": "1629965728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 M BUNN RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712920215",
"telephone_number": "318-366-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 M BUNN RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712920215",
"telephone_number": "318-366-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "318-366-0649",
"authorized_official_credential": "MOT, LOTR"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Pediatric Therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.