Individual provider Active NPI

Anne Peltier, O.T.

  • Occupational Therapist
  • Broussard, LA
National Provider Identifier
1831225457
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTTZ11236 Issued in LA
Practice address
705 S. Morgan Ave Ste. a
Broussard, LA 70518-7211
Phone
(337) 252-7449
Fax
(337) 330-2984
NPI assigned
Feb 26, 2007
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTTZ11236 LA Primary

Addresses

Primary practice location

705 S. Morgan Ave Ste. a
Broussard, LA 70518-7211

Mailing address

705 S Morgan Ave Ste a
Broussard, LA 70518-4951
Phone (337) 252-7449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518001178 LA Practitioner - Occupational Therapist in Private Practice 1850296591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Therapy LLCGroup PAC ID 7719343946, 4 clinicians

Practice addresses (Care Compare)

705 S Morgan Ave
Suite a
Broussard, LA 70518-4951
Phone (337) 258-3683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTTZ11236LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Therapy LLC Occupational Therapist CurrentSince Jan 15, 2023 Accepting new patients
Bravo Therapy Services, Inc. Occupational Therapist PastSince Oct 29, 2015 Accepting new patients
Lemoine Therapy Services of Cenla Inc Occupational Therapist Past Accepting new patients
Therapy Center of Jefferson Davis Parish, Inc Occupational Therapist PastSince Mar 4, 2002 Accepting new patients
Matthew Mack Abraham, LLC Past Accepting new patients
Healthe, L.L.C. Occupational Therapist Past Accepting new patients

Locations

705 S Morgan Ave
Ste A
Broussard, LA 70518
Phone (337) 252-7449

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1831225457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S MORGAN AVE STE A",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184951",
            "telephone_number": "337-252-7449",
            "fax_number": "337-330-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S. MORGAN AVE STE. A",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705187211",
            "telephone_number": "337-252-7449",
            "fax_number": "337-330-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTIER",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTTZ11236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.