Active NPI
Laurie J Hartley, OT
- Occupational Therapist
- Anchorage, AK
National Provider Identifier
1285855676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 463
- Practice address
- 3600 Lake Otis Pkwy Ste 202
Anchorage, AK 99508-5225 - Phone
- (907) 563-4263
- Fax
- (907) 563-4266
- NPI assigned
- May 1, 2007
- Last updated
- Sep 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 463 | AK | Primary |
| Hand Occupational Therapist | 225XH1200X | 463 | AK |
Addresses
Primary practice location
3600 Lake Otis Pkwy Ste 202
Anchorage, AK 99508-5225
Mailing address
3600 Lake Otis Pkwy Ste 202
Anchorage, AK 99508-5225
Phone (907) 563-4263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT4463 | Medicaid | AK |
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 |
|---|---|---|---|
| 463 | AK | MD | Hand Occupational Therapist |
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.
-
- Hand Occupational Therapist
- Anchorage, AK
- NPI 1285010975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1285855676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LAKE OTIS PKWY STE 202",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085225",
"telephone_number": "907-563-4263",
"fax_number": "907-563-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 LAKE OTIS PKWY STE 202",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085225",
"telephone_number": "907-563-4263",
"fax_number": "907-563-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "LAURIE",
"middle_name": "J",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "463",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AK",
"license": "463",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OT4463",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.