In Home Rehab Of Louisiana, LLC
Occupational Therapist in Lafayette, LA. Organization (NPI-2).
NPI number1962049064
StatusActive
Last updated in NPPESDec 8, 2019
Details
- NPI
- 1962049064
- Entity type
- Organization (NPI-2)
- Legal business name
- In Home Rehab Of Louisiana, LLC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2019
- Certification date
- Dec 8, 2019
- Last updated
- Dec 8, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
102 Raphael DrLafayette, LA 70508-5952
Phone 337-849-7431
Mailing address
102 Raphael DrLafayette, LA 70508-5952
Phone 337-849-7431
Authorized official
Sharron Bush Smith
Owner
3375410201
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