Active NPI
Lauren Davis, OTR/L
- Pediatric Occupational Therapist
- Torrance, CA
National Provider Identifier
1245753029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT15614
- Practice address
- 21615 Hawthorne Blvd Ste 200
Torrance, CA 90503-6670 - Phone
- (310) 371-8555
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT15614 | CA | Primary |
Addresses
Primary practice location
21615 Hawthorne Blvd Ste 200
Torrance, CA 90503-6670
Mailing address
4620 S Slauson Ave Apt 203
Culver City, CA 90230-5181
Phone (562) 879-8781
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT15614 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1245753029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 S SLAUSON AVE APT 203",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902305181",
"telephone_number": "562-879-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21615 HAWTHORNE BLVD STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905036670",
"telephone_number": "310-371-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LAUREN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT15614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.