Individual provider Active NPI

Lorna Elizabeth Smith, MOTR/L

  • Occupational Therapist
  • La Jolla, CA
National Provider Identifier
1053775916
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18470 Issued in CA
Practice address
7440 Girard Ave
La Jolla, CA 92037-0010
Phone
(858) 699-3195
NPI assigned
Apr 7, 2016
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230622001627 NC Practitioner - Occupational Therapist in Private Practice 4981062007 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14318NCMDPharmacist
18470CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Threshold Therapeutic, LLC Occupational Therapist CurrentSince Jun 8, 2023 Accepting new patients
Collective Therapy Corp. Occupational Therapist CurrentSince Sep 10, 2024 Accepting new patients

Locations

8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.