Individual provider Active NPI

Luanne Elizabeth Roberson, LOTR, CHT

  • Hand Occupational Therapist
  • Gonzales, LA
National Provider Identifier
1841280427
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
Z10485 Issued in LA
Practice address
211 E Worthy St
Building IV
Gonzales, LA 70737-4232
Phone
(225) 644-7044
Fax
(225) 644-4414
NPI assigned
Oct 25, 2005
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X Z10485 LA Primary

Addresses

Primary practice location

211 E Worthy St
Building IV
Gonzales, LA 70737-4232

Mailing address

211 E Worthy St
Building IV
Gonzales, LA 70737-4232
Phone (225) 644-7044

Other identifiers 3

IdentifierTypeStateIssuer
2314145OtherLAAETNA HMO PROVIDER #
4320208OtherLAAETNA NON HMO PROVIDER #
721282530ROOtherLAHUMANA PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060124000334 LA Practitioner - Occupational Therapist in Private Practice 0547284077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 Odonavan Blvd
Suite 514
Walker, LA 70785-6353
Phone (225) 380-1312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Z10485LAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Orthopaedic Clinic CurrentSince Dec 16, 2005 Accepting new patients
Baton Rouge Orthopaedic Clinic, LLC Occupational Therapist CurrentSince Dec 16, 2005 Accepting new patients
Action Therapy & Wellness Center, LLC PastSince Jan 29, 2013 Accepting new patients
Alliance Therapy Services, Inc PastSince Oct 31, 2000 Accepting new patients

Locations

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

5000 Odonavan Blvd
Ste 514
Walker, LA 70785
Phone (225) 380-1312

Organizations & group practices 4

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1841280427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E WORTHY ST",
            "address_2": "BUILDING IV",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374232",
            "telephone_number": "225-644-7044",
            "fax_number": "225-644-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E WORTHY ST",
            "address_2": "BUILDING IV",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374232",
            "telephone_number": "225-644-7044",
            "fax_number": "225-644-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "LUANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LOTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "Z10485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER #",
            "identifier": "2314145",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO PROVIDER #",
            "identifier": "4320208",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER #",
            "identifier": "721282530RO",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.