Active NPI
Lorie P May, COTA/L
- Occupational Therapy Assistant
- Burley, ID
National Provider Identifier
1508104613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-73
- Practice address
- 1501 Hiland Ave
Burley, ID 83318-2688 - Phone
- (208) 677-6530
- Fax
- (208) 677-6306
- NPI assigned
- Jan 24, 2013
- Sex
- Female
- Sole proprietor
- No
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 | OTA-73 | ID | Primary |
Addresses
Primary practice location
1501 Hiland Ave
Burley, ID 83318-2688
Mailing address
91 S 850 W
Paul, ID 83347-8733
Phone (208) 677-6530
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 |
|---|---|---|---|
| OTA-73 | ID | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1508104613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 S 850 W",
"city": "PAUL",
"state": "ID",
"postal_code": "833478733",
"telephone_number": "208-677-6530",
"fax_number": "208-677-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HILAND AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182688",
"telephone_number": "208-677-6530",
"fax_number": "208-677-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "LORIE",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ID",
"license": "OTA-73",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.