Individual provider Active NPI

Lindsay Dermer, MS, OTR/L

  • Occupational Therapist
  • Lutherville, MD
National Provider Identifier
1083242226
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07954 Issued in MD
Practice address
12230 Roundwood Rd
Lutherville, MD 21093-3233
Phone
(410) 252-0880
NPI assigned
Apr 1, 2020
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 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 07954 MD Primary

Addresses

Primary practice location

12230 Roundwood Rd
Lutherville, MD 21093-3233

Mailing address

48 Farmhouse CT
Baltimore, MD 21208-1325
Phone (443) 375-7050

Other practice location 1

48 Farmhouse Ct
Baltimore, MD 21208-1325
Phone (443) 375-7050

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
07954MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1083242226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 FARMHOUSE CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081325",
            "telephone_number": "443-375-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 ROUNDWOOD RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210933233",
            "telephone_number": "410-252-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Farmhouse Ct",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212081325",
            "country_code": "US",
            "telephone_number": "443-375-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERMER",
        "first_name": "LINDSAY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.