Individual provider Active NPI

Lauren Evelyn Interial, OTR/L

  • Hand Occupational Therapist
  • West Palm Beach, FL
National Provider Identifier
1326670258
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT20666 Issued in FL
Practice address
2051 45TH St Ste 201
West Palm Beach, FL 33407-2029
Phone
(561) 632-0767
Fax
(561) 630-6962
NPI assigned
Feb 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT20666 FL
Hand Occupational Therapist 225XH1200X OT20666 FL Primary

Addresses

Primary practice location

2051 45TH St Ste 201
West Palm Beach, FL 33407-2029

Mailing address

PO Box 31473
Palm Beach Gardens, FL 33420-1473
Phone (561) 632-0767

Other practice location 1

901 45th St
Kimmel Bldg
West Palm Beach, FL 33407-2413
Phone (561) 844-5255

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
OT20666FLMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1326670258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31473",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334201473",
            "telephone_number": "561-632-0767",
            "fax_number": "561-630-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 45TH ST STE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072029",
            "telephone_number": "561-632-0767",
            "fax_number": "561-630-6962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 45th St",
            "address_2": "Kimmel Bldg",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072413",
            "country_code": "US",
            "telephone_number": "561-844-5255",
            "fax_number": "561-844-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INTERIAL",
        "first_name": "LAUREN",
        "middle_name": "EVELYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20666",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT20666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.