Victoria Lee Lawson, COTA/L

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Practice address

11210 95TH St
Coal Valley, IL 61240-9360

Phone

(309) 799-3161

Fax

(309) 799-5904

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1487843421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "address_2": "P.O. BOX 214",
            "city": "OPHIEM",
            "state": "IL",
            "postal_code": "614689501",
            "telephone_number": "309-629-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 95TH ST",
            "city": "COAL VALLEY",
            "state": "IL",
            "postal_code": "612409360",
            "telephone_number": "309-799-3161",
            "fax_number": "309-799-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth S Heisler
• Jennifer Anne Hoffman
• Amanda Lynn Ketelsen, OTR
• Jennifer Marie Klocke, OTR/L
• Aubree Jo Savage Krol
• William C McCabe, M.D.
• Sarah Elizabeth McShane, P.T.A.
• Emily Catherine Miller, PTA
• Lisa Moritz
• Erin Margaret Morley

• Skilled Nursing Facility in Coal Valley, IL
• Providers in Coal Valley, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.