Active NPI
Corissa Lynne Laprell, MOT, OTR/L
- Pediatric Occupational Therapist
- Auburn, ME
National Provider Identifier
1518992957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT1699
- Practice address
- 229 Center St
Unit 6
Auburn, ME 04210-6168 - Phone
- (207) 782-0333
- Fax
- (207) 782-0333
- NPI assigned
- Jul 12, 2006
- Last updated
- Mar 8, 2016
- 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 | OT1699 | ME | Primary |
Addresses
Primary practice location
229 Center St
Unit 6
Auburn, ME 04210-6168
Mailing address
229 Center St
Unit 6
Auburn, ME 04210
Phone (207) 782-0333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407800000 | Other | ME | MAINECARE PROVIDER ID |
| OT1699 | Other | ME | OCC.THERAPY LICENSE |
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 |
|---|---|---|---|
| OT1699 | ME | MD | Pediatric Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Lewiston, ME
- NPI 1679684880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1518992957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 CENTER ST",
"address_2": "UNIT 6",
"city": "AUBURN",
"state": "ME",
"postal_code": "04210",
"telephone_number": "207-782-0333",
"fax_number": "207-782-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 CENTER ST",
"address_2": "UNIT 6",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106168",
"telephone_number": "207-782-0333",
"fax_number": "207-782-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPRELL",
"first_name": "CORISSA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "ME",
"license": "OT1699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINECARE PROVIDER ID",
"identifier": "407800000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCC.THERAPY LICENSE",
"identifier": "OT1699",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.