Individual provider Active NPI

Lorelei Becktell, OTD, MOT/R

  • Physical Rehabilitation Occupational Therapist
  • Saint Joseph, MO
National Provider Identifier
1669965570
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
2014024648 Issued in MO
Practice address
2100 Lovers LN
Saint Joseph, MO 64505-2246
Phone
(281) 221-9020
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X
Physical Rehabilitation Occupational Therapist 225XP0019X 2014024648 MO Primary

Addresses

Primary practice location

2100 Lovers LN
Saint Joseph, MO 64505-2246

Mailing address

27222 Fulshear Bend Dr Apt 2319
Fulshear, TX 77441-1206
Phone (281) 221-9020

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
2014024648MOMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1669965570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27222 FULSHEAR BEND DR APT 2319",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411206",
            "telephone_number": "281-221-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LOVERS LN",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645052246",
            "telephone_number": "281-221-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKTELL",
        "first_name": "LORELEI",
        "name_prefix": "Dr.",
        "credential": "OTD, MOT/R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MO",
            "license": "2014024648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.