Active NPI
Lori Ann Dillon, OTR LICENSED
- Occupational Therapist
- Scottsdale, AZ
National Provider Identifier
1114095825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1648
- Practice address
- 4200 N 82ND St Unit 1007
Scottsdale, AZ 85251-2770 - Phone
- (480) 947-1679
- NPI assigned
- Dec 1, 2006
- 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 | 1648 | AZ | Primary |
Addresses
Primary practice location
4200 N 82ND St Unit 1007
Scottsdale, AZ 85251-2770
Mailing address
4200 N 82ND St Unit 1007
Scottsdale, AZ 85251-2770
Phone (480) 947-1679
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 455312-02 | Other | AZ | AHCCCS NUMBER |
| 00350 | Other | AZ | DDD CONTRACT NUMBER |
| AZ0463220 | Other | AZ | BCBS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180723003206 | AZ | Practitioner - Occupational Therapist in Private Practice | 0547517476 | Practice locations: Scottsdale, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7748 E Charter Oak Rd
Scottsdale, AZ 85260-4826
Phone (480) 947-1679
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1648 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114095825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 N 82ND ST UNIT 1007",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852512770",
"telephone_number": "480-947-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 N 82ND ST UNIT 1007",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852512770",
"telephone_number": "480-947-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "OTR LICENSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "1648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS NUMBER",
"identifier": "455312-02",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DDD CONTRACT NUMBER",
"identifier": "00350",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "AZ0463220",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.