Brittney Wallace Junot, MOT, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.200651 Issued in LA

Practice address

56 Louis Prima Dr
Suite a
Covington, LA 70433-5903

Phone

(985) 327-7256

Fax

(985) 327-7253

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brittney Frances Wallace Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1912339367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S COURT VILLA DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711721",
            "telephone_number": "985-264-2005",
            "fax_number": "985-327-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LOUIS PRIMA DR",
            "address_2": "SUITE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "985-327-7256",
            "fax_number": "985-327-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNOT",
        "first_name": "BRITTNEY",
        "middle_name": "WALLACE",
        "name_prefix": "Mrs.",
        "credential": "MOT, LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "WALLACE",
            "middle_name": "FRANCES",
            "credential": "MOT, LOTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.