Active NPI
Lynn Schrum, OTA
- Occupational Therapy Assistant
- Orlando, FL
National Provider Identifier
1487960811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 10307
- Practice address
- 12472 Lake Underhill Rd
#167
Orlando, FL 32828-7144 - Phone
- (321) 373-3027
- NPI assigned
- Aug 23, 2010
- 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 | 10307 | FL | Primary |
Addresses
Primary practice location
12472 Lake Underhill Rd
#167
Orlando, FL 32828-7144
Mailing address
12472 Lake Underhill Rd
#167
Orlando, FL 32828-7144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10307 | Other | FL | OTA |
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 |
|---|---|---|---|
| 10307 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1487960811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12472 LAKE UNDERHILL RD",
"address_2": "#167",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12472 LAKE UNDERHILL RD",
"address_2": "#167",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287144",
"telephone_number": "321-373-3027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRUM",
"first_name": "LYNN",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "10307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTA",
"identifier": "10307",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.