Individual provider Active NPI

Tedra Faye Lapierre, OT

  • Occupational Therapist
  • Long Beach, NY
National Provider Identifier
1245503945
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008441-1 Issued in NY
Practice address
512 E Chester St
Long Beach, NY 11561-2413
Phone
(516) 884-1508
NPI assigned
Feb 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 008441-1 NY Primary

Addresses

Primary practice location

512 E Chester St
Long Beach, NY 11561-2413

Mailing address

512 E Chester St
Long Beach, NY 11561-2413
Phone (516) 884-1508

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

LicenseStateTypeSpecialty
008441-1NYMDOccupational Therapist
008441NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1245503945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E CHESTER ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612413",
            "telephone_number": "516-884-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E CHESTER ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612413",
            "telephone_number": "516-884-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPIERRE",
        "first_name": "TEDRA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-12",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008441-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.