Active NPI
Laura Lynn Irsfeld, COTA/L
- Occupational Therapy Assistant
- Indian Harbour Beach, FL
National Provider Identifier
1487145488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA10450
- Practice address
- 2040 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-3566 - Phone
- (321) 773-8989
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA10450 | FL | Primary |
Addresses
Primary practice location
2040 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-3566
Mailing address
121 Kristi Dr
Indian Harbour Beach, FL 32937-4158
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA10450 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1487145488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 KRISTI DR",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 HIGHWAY A1A STE 203",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329373566",
"telephone_number": "321-773-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRSFELD",
"first_name": "LAURA",
"middle_name": "LYNN",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA10450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Harbour Beach, FL
- Ginamarie Pamela Iannone
- Omeche Joyce Idoko-Forrester, M.D.
- Indian River Psychiatric and Addiction Associates LLC
- Rebecca Regan Innell, MSW
- Insight Eyecare East Coast LLC
- Frances Yolianna Izquierdo Brown, AP, RN
- Jade Palms Health & Healing Center, PA
- Jacqueline Fay Jennette, PSY.D
- David Johnson, LMHC
- Rachael Johnson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.