Angel Chenevert Lagrone, OT
Individual provider Active NPI Occupational Therapist · Jarreau, LA
NPI 1972913630 · NPPES record last updated May 4, 2014
Key facts
- NPI
- 1972913630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- Z12429 (LA)
- Practice address
- 12362 Pecan Island Rd
Jarreau, LA 70749-3217 - Phone
- (225) 931-0204
- NPI assigned
- May 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z12429 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Therapy Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Z12429 | LA | Yes |
Addresses
Primary practice location
12362 Pecan Island Rd
Jarreau, LA 70749-3217
Mailing address
12362 Pecan Island Rd
Jarreau, LA 70749-3217
Phone (225) 931-0204
Other providers in Jarreau, LA
All providers in Jarreau, LA · Occupational Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.