Lauren Elizabeth Laenen, MOT,OTR/L
Individual provider Active NPI Occupational Therapist · Pontotoc, MS
NPI 1194338079 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1194338079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2877 (MS)
- Practice address
- 147 S Brooks St
Pontotoc, MS 38863-2950 - Phone
- (662) 489-4050
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Action Therapy Group LLC
Practice addresses (Care Compare)
1551 Merchants Way
Niceville, FL 32578-8830
Phone (850) 741-6715
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250930001411 | FL | Practitioner - Occupational Therapist in Private Practice | 9436655461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Therapy Group LLC | Current |
Accepting new patients |
Locations
3964 Florida Ave
Jay, FL 32565
Phone (850) 675-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2877 | MS | Yes |
Addresses
Primary practice location
147 S Brooks St
Pontotoc, MS 38863-2950
Mailing address
981 Boland Loop
Pontotoc, MS 38863-6355
Phone (166) 226-6288
Other providers in Pontotoc, MS
- Kid Sense, PA
- Charity Kidd
- Michael Don King
- Austin Reed Knight
- Lynne Knight
- Lauderdale Medical Group PLLC
- Jessica Anne Lauderdale
- Life Seasons Counseling, LLC
- Lindsay Clinic PA
- Patricia Anne Lindsay
All providers in Pontotoc, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.