Callie Dartlon Freeland, LCOTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

325856 Issued in LA

Practice address

5445 Highway 2
Oak Grove, LA 71263-8365

Phone

(318) 428-4025

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Green Gables Therapy LLC

  • Occupational Therapist
  • Oak Grove, LA
  • NPI 1639744576
  NPD

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1750114591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 TURNER RD",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712638073",
            "telephone_number": "318-418-5640"
        },
        {
            "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": "318-428-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "CALLIE",
        "middle_name": "DARTLON",
        "name_prefix": "Mrs.",
        "credential": "LCOTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "325856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Billing, LLC
• Christopher Domingue, M.D.
• Fakhre Fakhre, M.D.
• Loren Fisher
• Gigi Danielle Frederick, LCOTA
• Gordon Smith Pharmacy
• Green Gables Therapy LLC
• Kristina Marie Green, APRN NP-C
• Brandi Griswould
• Noli Guinigundo, M.D.

• Occupational Therapy Assistant in Oak Grove, LA
• Providers in Oak Grove, LA by specialty
• Occupational Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.