Active NPI
Lauren Ingram, COTA
- Occupational Therapy Assistant
- Addison, TX
National Provider Identifier
1508378506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 21452
- Practice address
- 15820 Addison Rd
Addison, TX 75001-3549 - Phone
- (866) 919-3240
- NPI assigned
- Oct 30, 2017
- Last updated
- Mar 17, 2018
- 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 | 21452 | TX | Primary |
Addresses
Primary practice location
15820 Addison Rd
Addison, TX 75001-3549
Mailing address
11434 Overland Trail Dr
Richmond, TX 77406-3987
Other practice location 1
11434 Overland Trail Dr
Richmond, TX 77406-3987
Phone (281) 851-2394
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 |
|---|---|---|---|
| 21452 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508378506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11434 OVERLAND TRAIL DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774063987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15820 ADDISON RD",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013549",
"telephone_number": "866-919-3240"
}
],
"practiceLocations": [
{
"address_1": "11434 Overland Trail Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "TX",
"postal_code": "774063987",
"country_code": "US",
"telephone_number": "281-851-2394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGRAM",
"first_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "21452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
- Kailine Hynes, MA, SLP-CCC
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- Syed A Imam, MD
- Lori Impastato, M.C.D., CCC-SLP
- Amber Stament Ingram, MPT
- Innoveix Pharmaceuticals Inc.
- Inpatient Consultants of Texas, PLLC
- Inpatient Consultants of Texas, PLLC
- Inpatient Consultants of Texas, PLLC
- Inspire Massage and Bodywork LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.