Active NPI
Lyndsey Jean Hoffman, OTR/L
- Occupational Therapist
- Lebanon, OR
National Provider Identifier
1639640022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 388075
- Practice address
- 525 N Santiam Hwy
Lebanon, OR 97355-4363 - Phone
- (541) 258-2101
- NPI assigned
- Dec 10, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-008166 | AZ | |
| Occupational Therapist | 225X00000X | 2018033631 | MO | |
| Occupational Therapist | 225X00000X | 388075 | OR | Primary |
| Occupational Therapist | 225X00000X | 22358 | CA | |
| Occupational Therapist | 225X00000X | 17-0916 | NV |
Addresses
Primary practice location
525 N Santiam Hwy
Lebanon, OR 97355-4363
Mailing address
655 S Willow St Ste 128
Manchester, NH 03103-5723
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 |
|---|---|---|---|
| OTH-008166 | AZ | MD | Occupational Therapist |
| 2018033631 | MO | MD | Occupational Therapist |
| 17-0916 | NV | MD | Occupational Therapist |
| 388075 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1639640022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S WILLOW ST STE 128",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N SANTIAM HWY",
"city": "LEBANON",
"state": "OR",
"postal_code": "973554363",
"telephone_number": "541-258-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "LYNDSEY",
"middle_name": "JEAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-008166",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2018033631",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "388075",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "22358",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "17-0916",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.