Active NPI
Tera Marie Lovell, MOTR/L
- Occupational Therapist
- La Grande, OR
National Provider Identifier
1205470580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2519 Cove Ave
La Grande, OR 97850-3910 - Phone
- (541) 962-0830
- NPI assigned
- Oct 30, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 60282840 | WA | |
| Occupational Therapist | 225X00000X | 123152 | AK | |
| Occupational Therapist | 225X00000X | OR | Primary |
Addresses
Primary practice location
2519 Cove Ave
La Grande, OR 97850-3910
Mailing address
247 Jordan Rd
Winlock, WA 98596-9672
Phone (360) 880-7026
Other practice location 1
91 Aries Ln
LA Grande, OR 97850-3309
Phone (541) 963-8678
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123152 | AK | MD | Occupational Therapist |
| 60282840 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Valley Therapy, Inc | Occupational Therapist | Current | Accepting new patients |
Locations
2519 Cove Ave
La Grande, OR 97850
Phone (541) 962-0830
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1205470580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 JORDAN RD",
"city": "WINLOCK",
"state": "WA",
"postal_code": "985969672",
"telephone_number": "360-880-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 COVE AVE",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978503910",
"telephone_number": "541-962-0830"
}
],
"practiceLocations": [
{
"address_1": "91 Aries Ln",
"address_purpose": "LOCATION",
"city": "LA Grande",
"state": "OR",
"postal_code": "978503309",
"country_code": "US",
"telephone_number": "541-963-8678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVELL",
"first_name": "TERA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60282840",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "123152",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.