Active NPI
Laura Anne Trent, OTR
- Occupational Therapist
- Blue Point, NY
National Provider Identifier
1659427367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4247-1
- Practice address
- 12 Corky CT
Blue Point, NY 11715-1108 - Phone
- (631) 868-3313
- NPI assigned
- Jan 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4247-1 | NY | Primary |
Addresses
Primary practice location
12 Corky CT
Blue Point, NY 11715-1108
Mailing address
12 Corky CT
Blue Point, NY 11715-1108
Phone (631) 868-3313
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004247 | NY | MD | Acupuncturist |
| 4247-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1659427367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CORKY CT",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151108",
"telephone_number": "631-868-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CORKY CT",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151108",
"telephone_number": "631-868-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENT",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "4247-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.