Active NPI
Laurie Pontonero, OTR/L
- Occupational Therapist
- Reidsville, NC
National Provider Identifier
1669889945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5633
- Practice address
- 543 Maple Ave
Reidsville, NC 27320-4627 - Phone
- (336) 342-1382
- NPI assigned
- Jul 17, 2014
- Last updated
- Jul 17, 2014
- 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 | 5633 | NC | Primary |
Addresses
Primary practice location
543 Maple Ave
Reidsville, NC 27320-4627
Mailing address
1404 Adams Farm Pkwy Apt N
Greensboro, NC 27407-5125
Phone (315) 368-7963
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 |
|---|---|---|---|
| 5633 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1669889945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 ADAMS FARM PKWY APT N",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274075125",
"telephone_number": "315-368-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 MAPLE AVE",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273204627",
"telephone_number": "336-342-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTONERO",
"first_name": "LAURIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
- Georgi P Petrov, D.D.S.
- Physical Therapy and Hand Specialist, LLC
- Piedmont Occupational & General Medicine (Piedmont Occupational Urgent Care)
- Piedmont Podiatry Associates, PLLC (Piedmont Foot Center)
- Piedmont Stone Center
- Erickson Pangiligan Portales, PT
- Dabney Varner Porter
- Jonathan Scott Potter, RPH
- Power House Transportation LLC
- Precision Health Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.