Active NPI
Laura Dolmovich, OTD, OTR/L
- Developmental Therapist
- Sarasota, FL
National Provider Identifier
1114664232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 22899
- Practice address
- 4630 17TH St
Sarasota, FL 34235-1843 - Phone
- (941) 487-5400
- NPI assigned
- May 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 22899 | FL | Primary |
| Occupational Therapist | 225X00000X | 22899 | FL |
Addresses
Primary practice location
4630 17TH St
Sarasota, FL 34235-1843
Mailing address
8115 45TH CT E Apt 1
Sarasota, FL 34243-4358
Phone (941) 468-9928
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 |
|---|---|---|---|
| 22899 | FL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1114664232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8115 45TH CT E APT 1",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342434358",
"telephone_number": "941-468-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 17TH ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342351843",
"telephone_number": "941-487-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLMOVICH",
"first_name": "LAURA",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-08-02",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "22899",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "22899",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.