Active NPI
Laura Austin, OTR/L
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1669875795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07422
- Practice address
- 234 S Robinson St
Baltimore, MD 21224-2214 - Phone
- (404) 660-0628
- NPI assigned
- Oct 3, 2014
- Last updated
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 07422 | MD | Primary |
Addresses
Primary practice location
234 S Robinson St
Baltimore, MD 21224-2214
Mailing address
105 Silverado TRL
Cary, NC 27519-2848
Phone (404) 660-0628
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 |
|---|---|---|---|
| 07422 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | 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, 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": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1669875795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SILVERADO TRL",
"city": "CARY",
"state": "NC",
"postal_code": "275192848",
"telephone_number": "404-660-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 S ROBINSON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242214",
"telephone_number": "404-660-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "LAURA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-03",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.