Lara Suzanne Wolf, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

017006-1 Issued in NY

Practice address

40 Merrill Ave
Staten Island, NY 10314-3312

Phone

(718) 370-7529

NPI assigned

Oct 29, 2011

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children at Play Early Intervention Center

  • Early Intervention Provider Agency
  • Staten Island, NY
  • NPI 1275861304
  NPD (past)

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1396021788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 KNOLLWOOD TER",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903459",
            "telephone_number": "908-230-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MERRILL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143312",
            "telephone_number": "718-370-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LARA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017006-1",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00556900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Wodkiewicz, LMHC
• Maryann Wodzinski, M.S. SLP
• Todd Matthew Wohl, MSPT
• Frank Wolak, MD
• Ann-Marie Wold, OT
• Michael J Wolf, LCSW
• Leah Wolff
• Jessica Wolfson, MD
• Kerrin E Woll
• Avivit Wolly

• Occupational Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2011; 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.