Individual provider Active NPI

Lori Ann Carlson, O.T.R.

  • Occupational Therapist
  • Palos Verdes Estates, CA
National Provider Identifier
1598081036
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 00007642 Issued in CA
Practice address
701 Avenida Mirola
Palos Verdes Estates, CA 90274-4307
Phone
(310) 544-6570
Fax
(866) 593-1233
NPI assigned
Apr 8, 2010
Last updated
Apr 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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 OT 00007642 CA Primary

Addresses

Primary practice location

701 Avenida Mirola
Palos Verdes Estates, CA 90274-4307

Mailing address

701 Avenida Mirola
Palos Verdes Estates, CA 90274-4307
Phone (310) 544-6570

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
OT 00007642CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1598081036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 AVENIDA MIROLA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902744307",
            "telephone_number": "310-544-6570",
            "fax_number": "866-593-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 AVENIDA MIROLA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902744307",
            "telephone_number": "310-544-6570",
            "fax_number": "866-593-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 00007642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Verdes Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.