Active NPI
Kathleen Walsh, OT
- Occupational Therapist
- Baton Rouge, LA
National Provider Identifier
1912053059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004182
- Practice address
- 1042 Masterson Dr
Baton Rouge, LA 70810-4729 - Phone
- (225) 229-1862
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 20, 2020
- Sex
- Female
- 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 Therapist | 225X00000X | OT004182 | GA | Primary |
Addresses
Primary practice location
1042 Masterson Dr
Baton Rouge, LA 70810-4729
Mailing address
1042 Masterson Dr
Baton Rouge, LA 70810-4729
Phone (225) 229-1862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390170996A | Medicaid | GA |
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 |
|---|---|---|---|
| OT004182 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1912053059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 MASTERSON DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708104729",
"telephone_number": "225-229-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 MASTERSON DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708104729",
"telephone_number": "225-229-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "KATHLEEN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390170996A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
- Karen B Wallen, NP
- Mary Waller, M.ED., LPC, NCC
- Zadiee Waller, LMSW
- Nancy McMorris Walls, RN, MSN, FNP
- Douglas Christopher Walsh, M.D.
- Laura Doolittle Walsh, PA-C
- Leigh Walsh, LMSW
- Summer Nicole Walsh
- Walter J. Jung Professional Dental Corporation (Southern Louisiana Oral & Maxillofacial Surgery)
- Walter Wright Ellis, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.