Individual provider Active NPI

Deborah Atha Chepolis, LOTR

  • Pediatric Occupational Therapist
  • New Orleans, LA
National Provider Identifier
1821209123
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
Z11812 Issued in LA
Practice address
754 Florida Blvd
New Orleans, LA 70124-2845
Phone
(504) 931-8488
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Z11812 LA Primary

Addresses

Primary practice location

754 Florida Blvd
New Orleans, LA 70124-2845

Mailing address

754 Florida Blvd
New Orleans, LA 70124-2845
Phone (504) 931-8488

Other identifiers 1

IdentifierTypeStateIssuer
1198862MedicaidLA

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

LicenseStateTypeSpecialty
Z11812LAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821209123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 FLORIDA BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242845",
            "telephone_number": "504-931-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 FLORIDA BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242845",
            "telephone_number": "504-931-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEPOLIS",
        "first_name": "DEBORAH",
        "middle_name": "ATHA",
        "credential": "LOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "Z11812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198862",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.