# NORTHSHORE THERAPY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780778340
- **Authorized official:** MRS. AMANDA VARNADO MILLER MOT, LOTR (PRESIDENT)
- **Authorized official phone:** (985) 643-6880

## Contact information

- **Practice address:** 2790 EAST GAUSE BOULEVARD, SUITE 2, SLIDELL, LA 70461
- **Practice address phone:** (985) 643-6880
- **Practice address fax:** (985) 643-8104
- **Mailing address:** 2790 EAST GAUSE BOULEVARD, SUITE 2, SLIDELL, LA 70461
- **Mailing address phone:** (985) 643-6880
- **Mailing address fax:** (985) 643-8104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OTT.200062 | LA | — |
| 225XH1200X | Hand Occupational Therapist | OTT.200062 | LA | — |
| 225XN1300X | Neurorehabilitation Occupational Therapist | OTT.200062 | LA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 09/11/2025