Elliott Lauder, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP007799 Issued in PA

Practice address

100 Dogwood Dr
Philipsburg, PA 16866-1982

Phone

(814) 342-8434

NPI assigned

Jan 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1104334960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 S CENTRE ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOGWOOD DR",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661982",
            "telephone_number": "814-342-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDER",
        "first_name": "ELLIOTT",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Kochara, PTA
• Abbie L. Koptchak, PA C
• Christa Lynn Kozminski
• Laura Diane Kuterbach, PH.D.
• Linnea Lake, PMHNP-BC
• Doriann Lee Lavery, MD
• Tonya Rae Lewis, LPN
• Lighthouse Medical LLC
• Lighthouse Medical, LLC
• David Link

• Occupational Therapy Assistant in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.