Individual provider Active NPI

Lori Ann Pettinelli, OTR/L

  • Occupational Therapist
  • Bargersville, IN
National Provider Identifier
1174772164
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31008136A Issued in IN
Practice address
3892 Justify Dr
Bargersville, IN 46106-5561
Phone
(847) 989-5231
NPI assigned
Sep 15, 2008
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056004857 IL
Occupational Therapist 225X00000X 31008136A IN Primary

Addresses

Primary practice location

3892 Justify Dr
Bargersville, IN 46106-5561

Mailing address

3892 Justify Dr
Bargersville, IN 46106-5561
Phone (847) 989-5231

Other practice location 1

1249 Horseshoe Ln
Bartlett, IL 60103-1876
Phone (630) 736-9670

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
056004857ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1174772164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3892 JUSTIFY DR",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461065561",
            "telephone_number": "847-989-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3892 JUSTIFY DR",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461065561",
            "telephone_number": "847-989-5231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1249 Horseshoe Ln",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "IL",
            "postal_code": "601031876",
            "country_code": "US",
            "telephone_number": "630-736-9670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTINELLI",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056004857",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31008136A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bargersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.