Individual provider Active NPI

Laurel Duffy, MSOT, OTR/L

  • Occupational Therapist
  • Delray Beach, FL
National Provider Identifier
1629670757
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21179 Issued in FL
Practice address
13550 S Jog Rd # 100
Delray Beach, FL 33446-3808
Phone
(561) 496-5144
Fax
(561) 496-5201
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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 OT21179 FL Primary

Addresses

Primary practice location

13550 S Jog Rd # 100
Delray Beach, FL 33446-3808

Mailing address

PO Box 8396
Delray Beach, FL 33482-8396
Phone (561) 496-5144

Other practice location 1

510 NE Wavecrest Way
Boca Raton, FL 33432-4226
Phone (732) 616-4466

Other practice location 2

1905 Clint Moore Rd Ste 102
Boca Raton, FL 33496-2659
Phone (561) 994-0014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105002492 FL Practitioner - Occupational Therapist in Private Practice 9335552629 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT21179FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc CurrentSince Jan 17, 2025 Accepting new patients
Physical Therapy by Design LLC CurrentSince Nov 16, 2020 Accepting new patients
Cora Health Services Inc Current Accepting new patients
Cora Health Services, Inc CurrentSince Jan 17, 2025 Accepting new patients
One to One Physical Therapy, Inc. PastSince Jul 4, 2021 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 102
Boca Raton, FL 33496
Phone (561) 994-0014

1905 Clint Moore Rd
Ste 305
Boca Raton, FL 33496
Phone (561) 208-5515

7015 Beracasa Way
Ste 102
Boca Raton, FL 33433
Phone (561) 300-1999

1700 W Woolbright Rd
Ste 1
Boynton Beach, FL 33426
Phone (561) 335-0112

10151 Entrprs Cntr Blvd
Ste 104
Boynton Beach, FL 33437
Phone (561) 572-3220

13550 S Jog Rd
Ste 100
Delray Beach, FL 33446
Phone (561) 496-5144

20009 Verdana Village Blvd
Unit 103
Estero, FL 33928

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1629670757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8396",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334828396",
            "telephone_number": "561-496-5144",
            "fax_number": "561-496-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 S JOG RD # 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463808",
            "telephone_number": "561-496-5144",
            "fax_number": "561-496-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 NE Wavecrest Way",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334324226",
            "country_code": "US",
            "telephone_number": "732-616-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 Clint Moore Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334962659",
            "country_code": "US",
            "telephone_number": "561-994-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "LAUREL",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.