Individual provider Active NPI

Laura Pal, OTR/L

  • Pediatric Occupational Therapist
  • Stafford, VA
National Provider Identifier
1164615514
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0119004185 Issued in VA
Practice address
2761 Jefferson Davis Hwy Ste 209
Stafford, VA 22554-8329
Phone
(540) 657-1423
Fax
(540) 657-1424
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0119004185 VA Primary

Addresses

Primary practice location

2761 Jefferson Davis Hwy Ste 209
Stafford, VA 22554-8329

Mailing address

2761 Jefferson Davis Hwy Ste 209
Stafford, VA 22554-8329
Phone (540) 657-1423

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

LicenseStateTypeSpecialty
0119004185VAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1164615514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 JEFFERSON DAVIS HWY STE 209",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548329",
            "telephone_number": "540-657-1423",
            "fax_number": "540-657-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 JEFFERSON DAVIS HWY STE 209",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548329",
            "telephone_number": "540-657-1423",
            "fax_number": "540-657-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAL",
        "first_name": "LAURA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119004185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.