Active NPI
Lauren Comer, OTR
- Occupational Therapist
- Birmingham, AL
National Provider Identifier
1083235287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5189
- Practice address
- 4778 Overton Rd
Birmingham, AL 35210-3803 - Phone
- (205) 957-0294
- Fax
- (205) 957-0298
- NPI assigned
- Apr 29, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5189 | AL | Primary |
Addresses
Primary practice location
4778 Overton Rd
Birmingham, AL 35210-3803
Mailing address
4778 Overton Rd
Birmingham, AL 35210-3803
Phone (205) 957-0294
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.mitchells-place.com | Other |
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 |
|---|---|---|---|
| 5189 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell'S Place, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1083235287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4778 OVERTON RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352103803",
"telephone_number": "205-957-0294",
"fax_number": "205-957-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4778 OVERTON RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352103803",
"telephone_number": "205-957-0294",
"fax_number": "205-957-0298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMER",
"first_name": "LAUREN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-29",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "5189",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.mitchells-place.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "website",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "4778 Overton Rd",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352103803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.