Active NPI
Lauren Plunka, OTR
- Pediatric Occupational Therapist
- Bronx, NY
National Provider Identifier
1508233008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 019678-1
- Practice address
- 279 E 196TH St
Bronx, NY 10458-3507 - Phone
- (718) 584-4450
- NPI assigned
- Aug 31, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 019678-1 | NY | Primary |
Addresses
Primary practice location
279 E 196TH St
Bronx, NY 10458-3507
Mailing address
4555 Henry Hudson Pkwy
Apt # 505
Bronx, NY 10471-3836
Phone (410) 790-4174
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019678-1 | NY | MD | Pediatric Physical Therapist |
| 019678 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1508233008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 HENRY HUDSON PKWY",
"address_2": "APT # 505",
"city": "BRONX",
"state": "NY",
"postal_code": "104713836",
"telephone_number": "410-790-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 E 196TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104583507",
"telephone_number": "718-584-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUNKA",
"first_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "019678-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.