Lori Ottaviano, L.AC. DIPL.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006371-1 Issued in NY

Practice address

72 Croft LN
Smithtown, NY 11787-4112

Phone

(516) 385-7661

Fax

(631) 979-9634

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1538706684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CROFT LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874112",
            "telephone_number": "516-385-7661",
            "fax_number": "631-979-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CROFT LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874112",
            "telephone_number": "516-385-7661",
            "fax_number": "631-979-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAVIANO",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "L.AC. DIPL.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006371-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shintoacupuncture.wellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "72 Croft Ln",
            "city": "Smithtown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117874112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Elizabeth Ortsman
• Kathleen Osman, RPA-C
• Monica Osorio-Sarosi
• Osteo Relief of Long Island PC
• Lora Danielle Ottaviano, M.S. CCC-SLP
• Alexandra Outsen, NP
• Nicole Overin
• Armen Ovsepian, M.D.
• Teresa Owenburg, PMHNP-BC
• Amy E Owens, LPN

• Acupuncturist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.