Laura M Zagacki, MS OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OC009641 Issued in PA

Practice address

1456 Bogie Ave
Wescosville, PA 18106-9530

Phone

(732) 600-4369

NPI assigned

Aug 30, 2010

Last updated

Aug 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1336455187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 BOGIE AVE",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181069530",
            "telephone_number": "732-600-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 BOGIE AVE",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181069530",
            "telephone_number": "732-600-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGACKI",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009641",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC009641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Mary Sullivan, MS RD LDN
• Sunrise Pediatric Therapy, P.C.
• Nancy L Trawin, ED.D.
• John Charles Turoczi, ED.D.
• Mark E Velarde, MD

• Pediatric Occupational Therapist in Wescosville, PA
• Providers in Wescosville, PA by specialty
• Pediatric Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.