NPIMap

Organization Active NPI

In Home Rehab of Louisiana, LLC

  • Occupational Therapist
  • Lafayette, LA
National Provider Identifier
1962049064
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
IN HOME REHAB OF LOUISIANA, LLC
Practice address
102 Raphael Dr
Lafayette, LA 70508-5952
Phone
(337) 849-7431
NPI assigned
Dec 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Authorized official

Name
Ms. Sharron Bush Smith, LOTRNPI 1235341553
Title
Owner
Phone
(337) 541-0201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

102 Raphael Dr
Lafayette, LA 70508-5952

Mailing address

102 Raphael Dr
Lafayette, LA 70508-5952
Phone (337) 849-7431

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1962049064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RAPHAEL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085952",
            "telephone_number": "337-849-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RAPHAEL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085952",
            "telephone_number": "337-849-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME REHAB OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_middle_name": "BUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-541-0201",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LOTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.