Healthcare Provider Details

I. General information

NPI: 1528931458
Provider Name (Legal Business Name): LAGNIAPPE PEDIATRICS REHAB & THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CAMP STREET 3RD FLOOR STE 1224
NEW ORLEANS LA
70130
US

IV. Provider business mailing address

900 CAMP STREET 3RD FLOOR STE 1224
NEW ORLEANS LA
70130
US

V. Phone/Fax

Practice location:
  • Phone: 504-318-6040
  • Fax:
Mailing address:
  • Phone: 504-318-6040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224ZF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KEIMYEREIA R LEWIS
Title or Position: MANAGER
Credential:
Phone: 504-318-6040