Active NPI
Laurie Bognar, OTR/L
- Occupational Therapist
- Des Peres, MO
National Provider Identifier
1124431986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2002020983
- Practice address
- 13230 Manchester Rd
Des Peres, MO 63131-1706 - Phone
- (314) 821-2886
- NPI assigned
- Jun 9, 2014
- Last updated
- Jun 9, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2002020983 | MO | Primary |
Addresses
Primary practice location
13230 Manchester Rd
Des Peres, MO 63131-1706
Mailing address
13230 Manchester Rd
Des Peres, MO 63131-1706
Phone (314) 808-6933
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 |
|---|---|---|---|
| 2002020983 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1124431986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13230 MANCHESTER RD",
"city": "DES PERES",
"state": "MO",
"postal_code": "631311706",
"telephone_number": "314-808-6933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13230 MANCHESTER RD",
"city": "DES PERES",
"state": "MO",
"postal_code": "631311706",
"telephone_number": "314-821-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGNAR",
"first_name": "LAURIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2002020983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Peres, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.