Laura Ellan Fordyce, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

210773 Issued in TX

Practice address

2351 W Northwest Hwy
Suite 3270
Dallas, TX 75220-4433

Phone

(972) 661-0883

NPI assigned

Oct 11, 2011

Last updated

Oct 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1043595994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 W NORTHWEST HWY",
            "address_2": "SUITE 3270",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204433",
            "telephone_number": "972-661-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W NORTHWEST HWY",
            "address_2": "SUITE 3270",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204433",
            "telephone_number": "972-661-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDYCE",
        "first_name": "LAURA",
        "middle_name": "ELLAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1073",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Ford
• Steve Vincent Estoy Fordan, MD
• Jacqueline Forde, LPC
• Akua Fordjour, MD, PHD
• Micki Fordtran
• Robert Cole Fore, RN
• Forefront - Murdock Medical Services PC
• Forefront Dermatology, S.C. (North Dallas Dermatology Associates, A Forefront Dermatology Practice)
• Forefront Living Hospice (Faith Hospice)
• Forefront Telecare Inc

• Occupational Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.