NPIMap

Individual provider Active NPI

Loreyn Leigh Hansen, OTR

  • Low Vision Occupational Therapist
  • Rochester, NY
National Provider Identifier
1659447910
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
License
015313-1 Issued in NY
Practice address
422 Clinton Ave S
Abvi- Goodwill
Rochester, NY 14620-1103
Phone
(585) 327-5598
Fax
(585) 232-2972
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 015313-1 NY
Environmental Modification Occupational Therapist 225XE0001X 051313-1 NY
Ergonomics Occupational Therapist 225XE1200X 015313-1 NY
Low Vision Occupational Therapist 225XL0004X 015313-1 NY Primary
Neurorehabilitation Occupational Therapist 225XN1300X 015313-1 NY
Pediatric Occupational Therapist 225XP0200X OT1085 AK
Pediatric Occupational Therapist 225XP0200X 015313-1 NY
Driving and Community Mobility Occupational Therapist 225XR0403X 015313-1 NY

Addresses

Primary practice location

422 Clinton Ave S
Abvi- Goodwill
Rochester, NY 14620-1103

Mailing address

645 Yale Station Rd
Geneva, NY 14456-9249
Phone (315) 585-6060

Other identifiers 1

IdentifierTypeStateIssuer
OT1849MedicaidAK

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

LicenseStateTypeSpecialty
051313-1NYMDEnvironmental Modification Occupational Therapist
015313-1NYMDNeurorehabilitation Occupational Therapist
OT1085AKMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1659447910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 YALE STATION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569249",
            "telephone_number": "315-585-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 CLINTON AVE S",
            "address_2": "ABVI- GOODWILL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201103",
            "telephone_number": "585-327-5598",
            "fax_number": "585-232-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LOREYN",
        "middle_name": "LEIGH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015313-1",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "NY",
            "license": "051313-1",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "NY",
            "license": "015313-1",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "NY",
            "license": "015313-1",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "015313-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "OT1085",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "015313-1",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "NY",
            "license": "015313-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT1849",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.