Active NPI
Cedric Ladouceur
- Occupational Therapy Assistant
- North Lauderdale, FL
National Provider Identifier
1881335420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA13092
- Practice address
- 1401 Avon LN
North Lauderdale, FL 33068-5501 - Phone
- (407) 223-3754
- NPI assigned
- Apr 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA13092 | FL | Primary |
Addresses
Primary practice location
1401 Avon LN
North Lauderdale, FL 33068-5501
Mailing address
1401 Avon LN
North Lauderdale, FL 33068-5501
Phone (407) 223-3754
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CedricL7777@gmail.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA13092 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1881335420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 AVON LN",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330685501",
"telephone_number": "407-223-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 AVON LN",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330685501",
"telephone_number": "407-223-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADOUCEUR",
"first_name": "CEDRIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-06",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA13092",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CedricL7777@gmail.com",
"affiliation": "N",
"address_1": "1401 Avon Ln",
"city": "North Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "330685501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.