Individual provider Active NPI

Steven Lynn Landry, O.T.

  • Hand Occupational Therapist
  • Thibodaux, LA
National Provider Identifier
1649441965
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
Z11350 Issued in LA
Practice address
808 Bayou LN
Thibodaux, LA 70301-4906
Phone
(985) 447-3164
Fax
(985) 447-5196
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X Z11350 LA Primary

Addresses

Primary practice location

808 Bayou LN
Thibodaux, LA 70301-4906

Mailing address

808 Bayou LN
Thibodaux, LA 70301-4906
Phone (985) 447-3164

Other names 1

  • Mr. Steven Lynn Landry Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080418000166 LA Practitioner - Occupational Therapist in Private Practice 6507944360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

726 N Acadia Rd
Suite 1000
Thibodaux, LA 70301-5051
Phone (985) 625-2200

808 Bayou LN
Thibodaux, LA 70301-4906
Phone (985) 447-3164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Z11350LAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daigle Himel Daigle Physical Therapy Center and Rehabilitation Inc CurrentSince Mar 15, 2007 Accepting new patients
Orthopaedic Sports Specialists of Louisiana LLC CurrentSince Mar 1, 2015 Accepting new patients
Orthopaedic Sports Specialists of Louisiana, LLC CurrentSince Mar 1, 2015 Accepting new patients
Daigle,Himel & Daigle PT Center PastSince Mar 15, 2007 Accepting new patients

Locations

125 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 223-4760

1321 Grand Caillou Rd
Houma, LA 70363
Phone (504) 876-1155

726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301

808 Bayou Ln
Thibodaux, LA 70301
Phone (985) 447-3164

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1649441965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BAYOU LN",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014906",
            "telephone_number": "985-447-3164",
            "fax_number": "985-447-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BAYOU LN",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014906",
            "telephone_number": "985-447-3164",
            "fax_number": "985-447-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "STEVEN",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "Z11350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "LANDRY",
            "middle_name": "LYNN",
            "prefix": "MR.",
            "credential": "O.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.