Individual provider Active NPI

Laura Irene Gayer, OTR/L

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1548779242
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
004058 Issued in MO
Practice address
12826 Daylight Cir
Saint Louis, MO 63131-1890
Phone
(314) 328-0441
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004058 MO Primary

Addresses

Primary practice location

12826 Daylight Cir
Saint Louis, MO 63131-1890

Mailing address

154 Royal Manor CT
Saint Louis, MO 63141-8152
Phone (314) 452-3867

Other names 1

  • Ms. Laura Irene Pellegrini Former name

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

LicenseStateTypeSpecialty
004058MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1548779242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 ROYAL MANOR CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418152",
            "telephone_number": "314-452-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 DAYLIGHT CIR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311890",
            "telephone_number": "314-328-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYER",
        "first_name": "LAURA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "PELLEGRINI",
            "middle_name": "IRENE",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.