Individual provider Active NPI

Tina Soleimani Lalo, OTR/L

  • Pediatric Occupational Therapist
  • Great Neck, NY
National Provider Identifier
1235456104
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
012252 Issued in NY
Practice address
7 Devonshire LN
Great Neck, NY 11023-1337
Phone
(917) 692-1211
NPI assigned
Apr 30, 2010
Last updated
Apr 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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 012252 NY Primary

Addresses

Primary practice location

7 Devonshire LN
Great Neck, NY 11023-1337

Mailing address

7 Devonshire LN
Great Neck, NY 11023-1337
Phone (917) 692-1211

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
012252NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1235456104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEVONSHIRE LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231337",
            "telephone_number": "917-692-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DEVONSHIRE LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231337",
            "telephone_number": "917-692-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEIMANI LALO",
        "first_name": "TINA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "012252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.