Lori Henricksen, MS, OTR/L-BCP

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT12246 Issued in FL

Practice address

2900 NE 30TH St
7G
Fort Lauderdale, FL 33306-1927

Phone

(954) 654-1243

Fax

(954) 533-4572

NPI assigned

Aug 13, 2014

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

Other names 1

• Lori Henricksen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1487053617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NE 30TH ST",
            "address_2": "7G",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061927",
            "telephone_number": "954-654-1243",
            "fax_number": "954-533-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NE 30TH ST",
            "address_2": "7G",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061927",
            "telephone_number": "954-654-1243",
            "fax_number": "954-533-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICKSEN",
        "first_name": "LORI",
        "credential": "MS, OTR/L-BCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT12246",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "HENRICKSEN",
            "credential": "MS, OTR/L-BCP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melanie Anne Henderson, PT
• Matthew M Hendricks, PA-C
• Cory Scott Hennessey, DC
• Allison Hennessy, M.S.
• Rosalba R Henninger, D.D.S.
• Jose Fernando Henriquez Zschecher, ME175740
• Alycia Henry
• Brittany Henry
• Crystal Henry
• Dunstan M Henry, APRN, AGNP-C

• Pediatric Occupational Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.