Individual provider Active NPI

Lauren Lockette, OTR/L

  • Occupational Therapist
  • Salt Lake City, UT
National Provider Identifier
1497990311
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00441200 Issued in NJ
Practice address
6440 Millrock Dr Ste 175
Salt Lake City, UT 84121-5892
Phone
(866) 724-8555
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6922 NC
Occupational Therapist 225X00000X 46TR00441200 NJ Primary

Addresses

Primary practice location

6440 Millrock Dr Ste 175
Salt Lake City, UT 84121-5892

Mailing address

6440 S Millrock Dr Ste 175
Salt Lake City, UT 84121-5892
Phone (856) 448-4393

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
6922NCMDOral and Maxillofacial Surgery (Dentist)
46TR00441200NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1497990311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 S MILLROCK DR STE 175",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215892",
            "telephone_number": "856-448-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 MILLROCK DR STE 175",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215892",
            "telephone_number": "866-724-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETTE",
        "first_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6922",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00441200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.