Active NPI
Laura Ann White, OTRL
- Occupational Therapist
- Mystic, CT
National Provider Identifier
1013195064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002286
- Practice address
- 23 Clara Dr
Visions Sight and Learning Center
Mystic, CT 06355 - Phone
- (860) 572-4805
- Fax
- (860) 572-4810
- NPI assigned
- Feb 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 002286 | CT | |
| Occupational Therapist | 225X00000X | 002286 | CT | Primary |
Addresses
Primary practice location
23 Clara Dr
Visions Sight and Learning Center
Mystic, CT 06355
Mailing address
23 Clara Dr
Visions Sight and Learning Center
Mystic, CT 06355
Phone (860) 572-4805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002286 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1013195064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CLARA DR",
"address_2": "VISIONS SIGHT AND LEARNING CENTER",
"city": "MYSTIC",
"state": "CT",
"postal_code": "06355",
"telephone_number": "860-572-4805",
"fax_number": "860-572-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CLARA DR",
"address_2": "VISIONS SIGHT AND LEARNING CENTER",
"city": "MYSTIC",
"state": "CT",
"postal_code": "06355",
"telephone_number": "860-572-4805",
"fax_number": "860-572-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CT",
"license": "002286",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "002286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mystic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.