Active NPI
Lori Gilliam Tucker, OTR/L
- Occupational Therapist
- Tarpon Springs, FL
National Provider Identifier
1043636749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12202
- Practice address
- 3202 Crescent Oaks Blvd
Tarpon Springs, FL 34688-7604 - Phone
- (727) 424-7270
- NPI assigned
- Mar 5, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT12202 | FL | Primary |
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | OT12202 | FL | |
| Low Vision Occupational Therapist | 225XL0004X | OT12022 | FL | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT12202 | FL |
Addresses
Primary practice location
3202 Crescent Oaks Blvd
Tarpon Springs, FL 34688-7604
Mailing address
3202 Crescent Oaks Blvd
Tarpon Springs, FL 34688-7604
Phone (727) 424-7270
Other practice location 1
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (352) 382-1141
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 |
|---|---|---|---|
| OT12202 | FL | MD | Occupational Therapist |
| OT12022 | FL | MD | Low Vision Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557014400000",
"number": "1043636749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 CRESCENT OAKS BLVD",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346887604",
"telephone_number": "727-424-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 CRESCENT OAKS BLVD",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346887604",
"telephone_number": "727-424-7270"
}
],
"practiceLocations": [
{
"address_1": "8477 S Suncoast Blvd",
"address_purpose": "LOCATION",
"city": "Homosassa",
"state": "FL",
"postal_code": "344465028",
"country_code": "US",
"telephone_number": "352-382-1141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "LORI",
"middle_name": "GILLIAM",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-05",
"last_updated": "2019-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12202",
"primary": true
},
{
"code": "224ZF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
"state": "FL",
"license": "OT12202",
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "FL",
"license": "OT12022",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "FL",
"license": "OT12202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.