Kelly Louviere, OT/R

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

19674 Issued in FL

Practice address

3312 NW Willow Creek Drive
Jensen Beach, FL 34957-3044

Phone

(321) 289-9955

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Rene'E Lavergne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Therapt Connections

  • Pediatric Occupational Therapist
  • Jensen Beach, FL
  • NPI 1265054753
  NPD Authorized official

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1962758227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 NW WILLOW CREEK DRIVE",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "34957",
            "telephone_number": "321-289-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 NW WILLOW CREEK DRIVE",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573044",
            "telephone_number": "321-289-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUVIERE",
        "first_name": "KELLY",
        "credential": "OT/R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LAVERGNE",
            "middle_name": "RENE'E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.