Active NPI
Mikaela Grace Lounsbury, MS OTR/L
- Occupational Therapist
- Lockport, NY
National Provider Identifier
1417505488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023919
- Practice address
- 51 High St
Lockport, NY 14094-4333 - Phone
- (716) 478-4750
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 023919 | NY | Primary |
Addresses
Primary practice location
51 High St
Lockport, NY 14094-4333
Mailing address
50 E North St
Buffalo, NY 14203-1002
Phone (716) 885-8318
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1417505488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E NORTH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031002",
"telephone_number": "716-885-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 HIGH ST",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140944333",
"telephone_number": "716-478-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUNSBURY",
"first_name": "MIKAELA",
"middle_name": "GRACE",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.