NPIMap

Organization Active NPI

Northshore Therapy Center, LLC

  • Neurorehabilitation Occupational Therapist
  • Slidell, LA
National Provider Identifier
1780778340
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
OTT.200062 Issued in LA
Legal business name
NORTHSHORE THERAPY CENTER, LLC
Practice address
2790 East Gause Boulevard
Suite 2
Slidell, LA 70461
Phone
(985) 643-6880
Fax
(985) 643-8104
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Amanda Varnado Miller, MOT, LOTRNPI 1932179884
Title
President
Phone
(985) 643-6880

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X OTT.200062 LA
Hand Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XH1200X OTT.200062 LA
Neurorehabilitation Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XN1300X OTT.200062 LA Primary

Addresses

Primary practice location

2790 East Gause Boulevard
Suite 2
Slidell, LA 70461

Mailing address

2790 East Gause Boulevard
Suite 2
Slidell, LA 70461
Phone (985) 643-6880

National Provider Directory

National Provider Directory
Tax ID family
Northshore Therapy Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780778340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 EAST GAUSE BOULEVARD",
            "address_2": "SUITE 2",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70461",
            "telephone_number": "985-643-6880",
            "fax_number": "985-643-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 EAST GAUSE BOULEVARD",
            "address_2": "SUITE 2",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70461",
            "telephone_number": "985-643-6880",
            "fax_number": "985-643-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "VARNADO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-643-6880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, LOTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200062",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "OTT.200062",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "LA",
            "license": "OTT.200062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.