JENNIFER PERODEAU (NPI# 1881218352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881218352 |
| Entity Type | Individual |
| Full Name | JENNIFER PERODEAU |
| Credential | LOTR |
| Practice Address |
107 Summer Ln West Monroe LA 71291-3501 |
| Mailing Address |
Po Box 1377 West Monroe LA 71294-1377 |
| Practice Telephone | 3183961969 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 308111 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LOTR LICENSE | 308111 | 01 |
| Street Address |
107 SUMMER LN |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71291-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659522175 | Rebecca Elizabeth Sherwin | Physical Therapist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2008-10-02 |
| 1003462300 | Allison Redding | Speech-Language Pathologist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2019-08-13 |
| 1346724564 | Kaitlyn Bingham | Speech-Language Pathologist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2018-09-24 |
| 1063905982 | Anna Elizabeth Reardon | Physical Therapist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2018-06-14 |
| 1053862219 | Grace Cathrall | Physical Therapist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2016-10-21 |
| 1538610852 | Chelsey Harvey | Speech-Language Pathologist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2016-10-21 |
| 1700334224 | Jayde Long | Speech-Language Pathologist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2016-09-13 |
| 1891248274 | Lezlee Shauf | Speech-Language Pathologist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2016-08-02 |
| 1982059762 | Lindsey Vickery | Speech-Language Pathologist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2016-04-28 |
| 1154781003 | Chelsea Watson | Massage Therapist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| 1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
| 1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
| 1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
| 1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
| 1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
| 1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
| 1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| Find all providers in zip 71291 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349864 | Anna Hall | Occupational Therapist | 210 Winterpark Dr, West Monroe, LA 71292-1106 | 2019-11-04 |
| 1407400179 | Emily Ruth Humphrey | Occupational Therapist | 125 Lake Powell Dr, West Monroe, LA 71292-2107 | 2019-07-30 |
| 1346764495 | Dana Evans | Occupational Therapist | 2809 Arkansas Rd Lot 51, West Monroe, LA 71291-8740 | 2017-07-31 |
| 1952799132 | Donna Weeks | Occupational Therapist | 146 Evelyn Rd, None, West Monroe, LA 71292-3312 | 2014-12-22 |
| 1346579646 | Mary Balch | Occupational Therapist | 1007 Glenwood Dr, West Monroe, LA 71291-5501 | 2009-12-15 |
| 1639305626 | Margie Z Buford | Occupational Therapist | 174 Preston Rd, West Monroe, LA 71291-8592 | 2009-06-03 |
| 1881855666 | Cynthia Anne Place | Occupational Therapist | 121 Craft Rd, West Monroe, LA 71291-1619 | 2008-06-24 |
| 1063671675 | Michelle L Bolton Lemoine | Occupational Therapist | 2106 N 7th St Ste 230, West Monroe, LA 71291-4444 | 2008-06-09 |
| 1568579035 | Ann Tubre, Lotr LLC | Occupational Therapist | 205 Circle Dr, West Monroe, LA 71291-5305 | 2006-08-23 |
| 1912917741 | Jacob Randall Ponder | Occupational Therapist | 307 Register St, West Monroe, LA 71291-2737 | 2006-08-08 |
| Find all providers in WEST MONROE | ||||
| City | WEST MONROE |
| Zip Code | 71291 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.