Individual provider Active NPI

Lori Conway, MOT, OTR/L

  • Occupational Therapist
  • Matthews, NC
National Provider Identifier
1104173871
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11905 Issued in NC
Practice address
2030 Windsor Run LN
Matthews, NC 28105-0054
Phone
(980) 375-6558
Fax
(980) 375-6559
NPI assigned
Aug 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.006305 IL
Occupational Therapist 225X00000X 11905 NC Primary

Addresses

Primary practice location

2030 Windsor Run LN
Matthews, NC 28105-0054

Mailing address

2030 Windsor Run LN
Matthews, NC 28105-0054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125002555 NC Practitioner - Occupational Therapist in Private Practice 3870810906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1807 Windsor Run LN
Matthews, NC 28105-0124
Phone (980) 375-6558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.006305ILMDOccupational Therapist
11905NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 11, 2022 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 11, 2022 Accepting new patients
Centegra Primary Care LLC Past Accepting new patients

Locations

2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250

1807 Windsor Run Ln
Matthews, NC 28105
Phone (704) 443-6200

2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123

Organizations & group practices 3

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": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1104173871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 WINDSOR RUN LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281050054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 WINDSOR RUN LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281050054",
            "telephone_number": "980-375-6558",
            "fax_number": "980-375-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "LORI",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-12",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.006305",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.