Active NPI
Loraine Grace Engstrom, OTR/L
- Occupational Therapist
- Advance, NC
National Provider Identifier
1386881019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1842
- Practice address
- 142 Bermuda Village Dr
Advance, NC 27006-7867 - Phone
- (336) 940-6433
- NPI assigned
- Jan 16, 2009
- Last updated
- Jan 20, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1842 | NC | Primary |
Addresses
Primary practice location
142 Bermuda Village Dr
Advance, NC 27006-7867
Mailing address
225 Kingsmill Dr
Advance, NC 27006-7284
Phone (336) 940-2761
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1386881019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 KINGSMILL DR",
"city": "ADVANCE",
"state": "NC",
"postal_code": "270067284",
"telephone_number": "336-940-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 BERMUDA VILLAGE DR",
"city": "ADVANCE",
"state": "NC",
"postal_code": "270067867",
"telephone_number": "336-940-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGSTROM",
"first_name": "LORAINE",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "1842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Advance, NC
- Jeffrey William Duffy, D.D.S.
- Kelly Jean Duffy, MD
- Jayme Nance Earle, M.S., CCC-SLP
- Eckerd Corporation (Rite Aid Pharmacy 11310)
- Kerry Eileen Eisinger, COTA
- Family Solutions Center
- Forsyth Memorial Hospital Inc (Novant Health Hillsdale Medical Associates)
- Forsyth Memorial Hospital, Inc (Novant Health Easy Care Hillsdale Medical Associates)
- Forsyth Memorial Hospital, Inc (Medical Associates of Davie - Hillsdale)
- Forsyth Memorial Hospital, Inc. (NH Bermuda Run Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.