Active NPI
Loriann J Elston
- Occupational Therapist
- Mooresville, NC
National Provider Identifier
1649315151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16075
- Practice address
- 119 Chance Rd
Mooresville, NC 28115-9709 - Phone
- (570) 866-0854
- Fax
- (704) 360-4058
- NPI assigned
- Feb 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC001749L | PA | |
| Occupational Therapist | 225X00000X | 21122 | FL | |
| Occupational Therapist | 225X00000X | 16075 | NC | Primary |
Addresses
Primary practice location
119 Chance Rd
Mooresville, NC 28115-9709
Mailing address
119 Chance Rd
Mooresville, NC 28115-9709
Phone (570) 866-0854
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 |
|---|---|---|---|
| 16075 | NC | MD | Occupational Therapist |
| OC001749L | PA | MD | Occupational Therapist |
| 21122 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Intervention Professionals | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Shavertown, PA
- NPI 1790842045
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1649315151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 CHANCE RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281159709",
"telephone_number": "570-866-0854",
"fax_number": "704-360-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 CHANCE RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281159709",
"telephone_number": "570-866-0854",
"fax_number": "704-360-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSTON",
"first_name": "LORIANN",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC001749L",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "21122",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "16075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.