Laureta South, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

016661 Issued in NY

Practice address

150 50TH Ave
Apt 3806
Long Island City, NY 11101-6050

Phone

(917) 945-0060

NPI assigned

Apr 14, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Laureta Sevilla Alvaira Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365
  Medicare reassignment NPD
• South Occupational Therapy Services, P.C.

  • Occupational Therapist
  • Long Island City, NY
  • NPI 1831716323
  NPD Authorized official
• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237
  Medicare reassignment

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1467742197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 50TH AVE",
            "address_2": "APT 3806",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016050",
            "telephone_number": "917-945-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 50TH AVE",
            "address_2": "APT 3806",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016050",
            "telephone_number": "917-945-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "LAURETA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "016661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURETA",
            "last_name": "ALVAIRA",
            "middle_name": "SEVILLA",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sabrina Ian Lok Song, RD, CDN
• Anne Soriano
• Joseph Soto
• Zaira Nayeli Soto
• South Occupational Therapy Services, P.C.
• Sarah M Spadafina, MD
• Katelyn Marie Spadalik, PA-C
• Spear Physical and Occupational Therapy, LLC
• Selena Spence
• Paula G Spera

• Pediatric Occupational Therapist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.