Active NPI
Laurel Rico, COTA/L
- Gerontology Occupational Therapist
- Scottsboro, AL
National Provider Identifier
1376864132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 0806
- Practice address
- 692 Ruby Johnson Dr
Scottsboro, AL 35769-3633 - Phone
- (256) 647-1648
- NPI assigned
- Jun 16, 2010
- 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 |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 0806 | AL | |
| Gerontology Occupational Therapist | 225XG0600X | 0806 | AL | Primary |
Addresses
Primary practice location
692 Ruby Johnson Dr
Scottsboro, AL 35769-3633
Mailing address
692 Ruby Johnson Dr
Scottsboro, AL 35769-3633
Phone (256) 647-1648
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 |
|---|---|---|---|
| 0806 | AL | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1376864132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "692 RUBY JOHNSON DR",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357693633",
"telephone_number": "256-647-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "692 RUBY JOHNSON DR",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357693633",
"telephone_number": "256-647-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO",
"first_name": "LAUREL",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "AL",
"license": "0806",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "AL",
"license": "0806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.