Mary Haswell Lorton, OT

Individual provider Active NPI Occupational Therapist · Vinton, VA

NPI 1245955889 · NPPES record last updated Feb 5, 2024

Key facts

NPI
1245955889
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0119003792 (VA)
Practice address
1337 Hardy Rd Ste 10
Vinton, VA 24179-2247
Phone
(540) 647-8331
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0119003792VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Physical Therapy LLC Current
since Oct 3, 2022
Accepting new patients

Locations

1337 Hardy Rd
Ste 10
Vinton, VA 24179
Phone (540) 647-8331

2125 E Washington Ave
Vinton, VA 24179
Phone (540) 467-5789

2125 E Washington Ave
Ste C
Vinton, VA 24179
Phone (540) 647-8331

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119003792 VA Yes

Addresses

Primary practice location

1337 Hardy Rd Ste 10
Vinton, VA 24179-2247

Mailing address

2125 E Washington Ave Ste C
Vinton, VA 24179-4601
Phone (540) 647-8331

Other practice location 1

101 Elm Ave SE
Roanoke, VA 24013-2222
Phone (540) 985-9915

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL admin@restorept.org Direct

Other providers in Vinton, VA

All providers in Vinton, VA · Occupational Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.