Active NPI
Lorelei Elise Woerner-Eisner, OTR/L
- Occupational Therapist
- Malibu, CA
National Provider Identifier
1104160076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4590
- Practice address
- 29500 Heathercliff Rd SPC 257
Malibu, CA 90265-6257 - Phone
- (310) 991-9495
- NPI assigned
- Nov 16, 2012
- 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 | 4590 | CA | Primary |
Addresses
Primary practice location
29500 Heathercliff Rd SPC 257
Malibu, CA 90265-6257
Mailing address
29500 Heathercliff Rd SPC 257
Malibu, CA 90265-6257
Phone (310) 991-9495
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 |
|---|---|---|---|
| 4590 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1104160076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29500 HEATHERCLIFF RD SPC 257",
"city": "MALIBU",
"state": "CA",
"postal_code": "902656257",
"telephone_number": "310-991-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29500 HEATHERCLIFF RD SPC 257",
"city": "MALIBU",
"state": "CA",
"postal_code": "902656257",
"telephone_number": "310-991-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOERNER-EISNER",
"first_name": "LORELEI",
"middle_name": "ELISE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "4590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malibu, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.