Active NPI
Lyla Brooke James, CTRS
- Recreation Therapist
- Biloxi, MS
National Provider Identifier
1780691188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 52642
- Practice address
- 400 Veterans Ave # 135
Biloxi, MS 39531-2410 - Phone
- (228) 523-5789
- Fax
- (228) 523-5789
- NPI assigned
- Aug 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 52642 | MS | Primary |
Addresses
Primary practice location
400 Veterans Ave # 135
Biloxi, MS 39531-2410
Mailing address
5013 Weems St
Moss Point, MS 39563-2657
Phone (228) 475-0570
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52642 | MS | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780691188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 WEEMS ST",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395632657",
"telephone_number": "228-475-0570",
"fax_number": "228-475-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 VETERANS AVE # 135",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312410",
"telephone_number": "228-523-5789",
"fax_number": "228-523-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "LYLA",
"middle_name": "BROOKE",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MS",
"license": "52642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.