Organization Active NPI

Pediatric Therapy and Learning Center of the Northshore

  • Pediatric Occupational Therapist
  • Covington, LA
National Provider Identifier
1851687198
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTT.Z12153 Issued in LA
Legal business name
PEDIATRIC THERAPY AND LEARNING CENTER OF THE NORTHSHORE
Practice address
2033 N Hwy 190
Suite 10a
Covington, LA 70433-8985
Phone
(985) 590-4549
Fax
(985) 333-1217
NPI assigned
Jun 24, 2011
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Brent Robertson
Title
Owner
Phone
(504) 930-4476

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTT.Z12153 LA Primary
Speech-Language Pathologist 235Z00000X 4981 LA

Addresses

Primary practice location

2033 N Hwy 190
Suite 10a
Covington, LA 70433-8985

Mailing address

2033 N Hwy 190
Suite 10a
Covington, LA 70433-8985
Phone (985) 590-4549

National Provider Directory

National Provider Directory

Locations

201 Holiday Blvd
Ste 315
Covington, LA 70433
Phone (985) 898-2999

2033 N Highway 190
Ste 10A
Covington, LA 70433
Phone (985) 590-4549

220 Park Pl
Ste 201
Covington, LA 70433
Phone (985) 898-2289

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1851687198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 N HWY 190",
            "address_2": "SUITE 10A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338985",
            "telephone_number": "985-590-4549",
            "fax_number": "985-333-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 N HWY 190",
            "address_2": "SUITE 10A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338985",
            "telephone_number": "985-590-4549",
            "fax_number": "985-333-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY AND LEARNING CENTER OF THE NORTHSHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-08-12",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-930-4476"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTT.Z12153",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.