Lauri Berka, OTR
Individual provider Active NPI Occupational Therapist · Willow Park, TX
NPI 1184014185 · NPPES record last updated Oct 8, 2018
Key facts
- NPI
- 1184014185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 109921 (TX)
- Practice address
- 300 Crown Pointe Blvd
Willow Park, TX 76087 - Phone
- (817) 757-1200
- NPI assigned
- Jan 28, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109921 | TX | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 109921 | TX | Yes |
Addresses
Primary practice location
300 Crown Pointe Blvd
Willow Park, TX 76087
Mailing address
300 Crown Pointe Blvd
Willow Park, TX 76087-1160
Phone (817) 757-1200
Other practice location 1
4800 White Settlement Rd
Fort Worth, TX 76114-3998
Phone (738) 655-6817
Other practice location 2
970 Hilltop Dr
Weatherford, TX 76086-5488
Phone (817) 599-0000
Other providers in Willow Park, TX
- Christina Bazan
- Isabel Beale
- Sherrie Beaty
- George Joseph Bember
- Margaret Grace Bergmann
- Cindy L Bernard
- Raphaelle Bernier
- Tarah R Bertzyk
- Sperry Binnicker
- Janekia Black
All providers in Willow Park, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.