Individual provider Active NPI

Cheryl Stipe Rudd, LOT

  • Occupational Therapist
  • Marksville, LA
National Provider Identifier
1861067399
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z10642 Issued in LA
Practice address
221 Tunica Dr W
Marksville, LA 71351-2603
Phone
(318) 253-5982
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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 Z10642 LA Primary

Addresses

Primary practice location

221 Tunica Dr W
Marksville, LA 71351-2603

Mailing address

9021 Pine Moss Dr
Baton Rouge, LA 70817-6930
Phone (225) 931-8049

Other practice location 1

800 Main St
Franklinton, LA 70438-1424
Phone (985) 839-3436

Other practice location 2

12732 Silliman St
Clinton, LA 70722-3402
Phone (225) 683-8277

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
Z10642LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Feliciana Parish School Board Past Accepting new patients
Avoyelles Parish School Board PastSince Jun 22, 2021 Accepting new patients
East Feliciana Parish School Board Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1861067399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 PINE MOSS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708176930",
            "telephone_number": "225-931-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 TUNICA DR W",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512603",
            "telephone_number": "318-253-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Main St",
            "address_purpose": "LOCATION",
            "city": "Franklinton",
            "state": "LA",
            "postal_code": "704381424",
            "country_code": "US",
            "telephone_number": "985-839-3436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12732 Silliman St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "LA",
            "postal_code": "707223402",
            "country_code": "US",
            "telephone_number": "225-683-8277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDD",
        "first_name": "CHERYL",
        "middle_name": "STIPE",
        "name_prefix": "Mrs.",
        "credential": "LOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z10642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.