Organization Active NPI

Green Gables Therapy LLC

  • Occupational Therapist
  • Oak Grove, LA
National Provider Identifier
1639744576
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GREEN GABLES THERAPY LLC
Practice address
5445 Highway 2
Oak Grove, LA 71263-8365
Phone
(318) 488-0893
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Heather L Madden, OT
Title
President
Phone
(318) 488-0893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

5445 Highway 2
Oak Grove, LA 71263-8365

Mailing address

5445 Highway 2
Oak Grove, LA 71263-8365
Phone (318) 488-0893

National Provider Directory

National Provider Directory

Locations

5445 Highway 2
Oak Grove, LA 71263
Phone (318) 428-4025

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1639744576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 HIGHWAY 2",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712638365",
            "telephone_number": "318-488-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 HIGHWAY 2",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712638365",
            "telephone_number": "318-488-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN GABLES THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-488-0893",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.