Active NPI
Lorna Elizabeth Smith, MOTR/L
- Occupational Therapist
- La Jolla, CA
National Provider Identifier
1053775916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18470
- Practice address
- 7440 Girard Ave
La Jolla, CA 92037-0010 - Phone
- (858) 699-3195
- NPI assigned
- Apr 7, 2016
- Last updated
- Mar 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 18470 | CA | Primary |
Addresses
Primary practice location
7440 Girard Ave
La Jolla, CA 92037-0010
Mailing address
PO Box 702
La Jolla, CA 92038-0702
Phone (858) 699-3195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14318 | NC | MD | Pharmacist |
| 18470 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Threshold Therapeutic, LLC | Occupational Therapist | Current | Accepting new patients |
| Collective Therapy Corp. | Occupational Therapist | Current | Accepting new patients |
Locations
8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225
Interoperability endpoints
- https://api.platform.athenahealth.com/25089/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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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- Charlotte, NC
- NPI 1396380911
Occupational Therapist
-
- Occupational Therapist
- Charlotte, NC
- NPI 1689299166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1053775916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 702",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920380702",
"telephone_number": "858-699-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 GIRARD AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920370010",
"telephone_number": "858-699-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LORNA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.