Individual provider Active NPI

Lori H Goldsborough, OTR

  • Occupational Therapist
  • Crisfield, MD
National Provider Identifier
1417578337
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
01934 Issued in MD
Practice address
201 Hall Hwy
Crisfield, MD 21817-1237
Phone
(410) 968-1200
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
01934MDMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 01934 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

201 Hall Hwy
Crisfield, MD 21817-1237

Mailing address

7055 Boggs Schoolhouse Rd
Westover, MD 21871-3739
Phone (410) 726-5641

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2020.

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1417578337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 BOGGS SCHOOLHOUSE RD",
            "city": "WESTOVER",
            "state": "MD",
            "postal_code": "218713739",
            "telephone_number": "410-726-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HALL HWY",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "218171237",
            "telephone_number": "410-968-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSBOROUGH",
        "first_name": "LORI",
        "middle_name": "H",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "01934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crisfield, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.