Individual provider Active NPI

Ethel Lai, OTR/L

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1477807493
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9773 Issued in CA
Practice address
5030 Maplewood Ave Apt 205
Los Angeles, CA 90004-2531
Phone
(323) 462-1030
NPI assigned
Oct 29, 2012
Last updated
Oct 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT9773 CA Primary

Addresses

Primary practice location

5030 Maplewood Ave Apt 205
Los Angeles, CA 90004-2531

Mailing address

5030 Maplewood Ave Apt 205
Los Angeles, CA 90004-2531
Phone (323) 462-1030

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
OT9773CAMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: ethel.lai@831423838093316.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1477807493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 MAPLEWOOD AVE APT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042531",
            "telephone_number": "323-462-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 MAPLEWOOD AVE APT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042531",
            "telephone_number": "323-462-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "ETHEL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT9773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.