Active NPI
Toni Mastrodonato White, OT, MOTR
- Occupational Therapist
- Cut Off, LA
National Provider Identifier
1720329899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 311473
- Practice address
- 104 West 134TH Place
Cut Off, LA 70345 - Phone
- (985) 632-7919
- Fax
- (985) 632-3581
- NPI assigned
- Mar 13, 2013
- Last updated
- Apr 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA 200359 | LA | |
| Occupational Therapist | 225X00000X | 311473 | LA | Primary |
Addresses
Primary practice location
104 West 134TH Place
Cut Off, LA 70345
Mailing address
174 W 138TH St
Cut Off, LA 70345-4131
Phone (985) 691-1234
Other practice location 1
120 White Rose Dr
Raceland, LA 70394-2644
Phone (985) 532-9662
Other names 1
- Toni Ann Mastrodonato
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 |
|---|---|---|---|
| OTA 200359 | LA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1720329899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 W 138TH ST",
"city": "CUT OFF",
"state": "LA",
"postal_code": "703454131",
"telephone_number": "985-691-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 WEST 134TH PLACE",
"city": "CUT OFF",
"state": "LA",
"postal_code": "70345",
"telephone_number": "985-632-7919",
"fax_number": "985-632-3581"
}
],
"practiceLocations": [
{
"address_1": "120 White Rose Dr",
"address_purpose": "LOCATION",
"city": "Raceland",
"state": "LA",
"postal_code": "703942644",
"country_code": "US",
"telephone_number": "985-532-9662",
"fax_number": "985-532-3942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "TONI",
"middle_name": "MASTRODONATO",
"credential": "OT, MOTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-13",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "LA",
"license": "OTA 200359",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "311473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONI",
"last_name": "MASTRODONATO",
"middle_name": "ANN",
"credential": "COTA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cut Off, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.