Individual provider Active NPI

Tamina Laudat, COTA/L

  • Occupational Therapy Assistant
  • Newport News, VA
National Provider Identifier
1073281846
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0131001096 Issued in VA
Practice address
4 Ridgewood Pkwy
Newport News, VA 23602-4415
Phone
(757) 886-6500
NPI assigned
Sep 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0131001096 VA Primary

Addresses

Primary practice location

4 Ridgewood Pkwy
Newport News, VA 23602-4415

Mailing address

4 Ridgewood Pkwy
Newport News, VA 23602-4415
Phone (757) 886-6500

Other practice location 1

102 Saint Clair Cir Apt F
Yorktown, VA 23693-4158
Phone (757) 324-0922

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

LicenseStateTypeSpecialty
0131001096VAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1073281846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIDGEWOOD PKWY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024415",
            "telephone_number": "757-886-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIDGEWOOD PKWY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024415",
            "telephone_number": "757-886-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Saint Clair Cir Apt F",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236934158",
            "country_code": "US",
            "telephone_number": "757-324-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUDAT",
        "first_name": "TAMINA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.