Active NPI
Lori Ann Bosset, OTR/L
- Occupational Therapist
- Ormond Beach, FL
National Provider Identifier
1023023371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT6537
- Practice address
- 290 Clyde Morris Blvd Ste A1
Ormond Beach, FL 32174 - Phone
- (386) 898-0443
- Fax
- (386) 898-0459
- NPI assigned
- Jul 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT6537 | FL | Primary |
Addresses
Primary practice location
290 Clyde Morris Blvd Ste A1
Ormond Beach, FL 32174
Mailing address
1200 Lexington Green LN
Sanford, FL 32771-1013
Phone (386) 226-4537
Other practice location 1
201 N Clyde Morris Blvd Ste 230
Daytona Beach, FL 32114-2771
Phone (862) 588-1773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 892521600 | Medicaid | FL | |
| Z134D | Other | FL | BLUE CROSS BLUE SHIELD FL |
Other names 1
- Lori Ann Macdonald
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Health Services and Rehabilitation LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1376089649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1023023371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 LEXINGTON GREEN LN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711013",
"telephone_number": "386-226-4537",
"fax_number": "407-322-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 CLYDE MORRIS BLVD STE A1",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "32174",
"telephone_number": "386-898-0443",
"fax_number": "386-898-0459"
}
],
"practiceLocations": [
{
"address_1": "201 N Clyde Morris Blvd Ste 230",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142771",
"country_code": "US",
"telephone_number": "862-588-1773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSSET",
"first_name": "LORI",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT6537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892521600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "Z134D",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "MACDONALD",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.