Organization Active NPI

Sassafras Therapy LLC

  • Occupational Therapist
  • Mandeville, LA
National Provider Identifier
1720703622
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SASSAFRAS THERAPY LLC
Practice address
1350 Park Dr Ste B
Mandeville, LA 70471-3205
Phone
(985) 869-3650
NPI assigned
Oct 4, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Katherine Gristina, MS, LOTRNPI 1487836854
Title
Director, Occupational Therapist
Phone
(985) 869-3650

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1350 Park Dr Ste B
Mandeville, LA 70471-3205

Mailing address

1350 Park Dr Ste B
Mandeville, LA 70471-3205
Phone (985) 869-3650

Other names 1

  • Sassafras Therapy and Wellness Other name

National Provider Directory

National Provider Directory

Locations

1350 Park Dr
Ste B
Mandeville, LA 70471
Phone (985) 869-3650

Practitioners & affiliated clinicians

Practitioners 1

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": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1720703622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 PARK DR STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713205",
            "telephone_number": "985-869-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 PARK DR STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713205",
            "telephone_number": "985-869-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASSAFRAS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "GRISTINA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DIRECTOR, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "985-869-3650",
        "authorized_official_credential": "MS, 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": "Sassafras Therapy and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.