Active NPI
Lorraine B Elmo, OT
- Pediatric Occupational Therapist
- Fairfield, CT
National Provider Identifier
1154560365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 003014
- Practice address
- 1300 Post Rd
Suite 204
Fairfield, CT 06824-6038 - Phone
- (203) 255-3669
- Fax
- (203) 255-1173
- NPI assigned
- Feb 11, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 003014 | CT | Primary |
Addresses
Primary practice location
1300 Post Rd
Suite 204
Fairfield, CT 06824-6038
Mailing address
PO Box 5465
Milford, CT 06460-0707
Phone (203) 876-2000
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 |
|---|---|---|---|
| 003014 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1154560365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5465",
"city": "MILFORD",
"state": "CT",
"postal_code": "064600707",
"telephone_number": "203-876-2000",
"fax_number": "203-876-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 POST RD",
"address_2": "SUITE 204",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246038",
"telephone_number": "203-255-3669",
"fax_number": "203-255-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMO",
"first_name": "LORRAINE",
"middle_name": "B",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CT",
"license": "003014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.