Individual provider Active NPI

Laura H Estrada, OTR

  • Occupational Therapist
  • Chattanooga, TN
National Provider Identifier
1649416132
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
GA PT004806
Practice address
2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone
(423) 622-6200
Fax
(423) 697-2025
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 GA PT004806 Primary

Addresses

Primary practice location

2415 McCallie Ave
Chattanooga, TN 37404-3322

Mailing address

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 622-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000715 TN Practitioner - Occupational Therapist in Private Practice 9335291335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2400 N Ocoee St
Cleveland, TN 37311-3854
Phone (423) 624-2696

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3949TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Orthopaedic Group, PC CurrentSince Apr 2, 2009 Accepting new patients
Chattanooga Orthopaedic Group PC Occupational Therapist CurrentSince Apr 2, 2009 Accepting new patients
Chattanooga Orthopaedic Group, PC Occupational Therapist Past Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients
North Georgia Pediatric Therapies, LLC Occupational Therapist Past Accepting new patients

Locations

4725 Battlefield Pkwy
Ringgold, GA 30736

6401 Lee Hwy
Ste 109
Chattanooga, TN 37421
Phone (423) 713-5639

2415 McCallie Ave
Chattanooga, TN 37404
Phone (423) 629-4395

7305 Jarnigan Rd
Ste 280
Chattanooga, TN 37421

2400 N Ocoee St
Cleveland, TN 37311
Phone (423) 476-5547

2051 Hamill Rd
Ste 3000
Hixson, TN 37343

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1649416132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-622-6200",
            "fax_number": "423-697-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-622-6200",
            "fax_number": "423-697-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "LAURA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "GA PT004806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.