Active NPI
Sloan Lazzareschi, OTR
- Occupational Therapist
- Johnston, RI
National Provider Identifier
1679969349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT01478
- Practice address
- 1139 Hartford Ave Apt 5B
Johnston, RI 02919-7124 - Phone
- (401) 623-6363
- NPI assigned
- Apr 9, 2015
- Sex
- Male
- 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 | OT01478 | RI | Primary |
Addresses
Primary practice location
1139 Hartford Ave Apt 5B
Johnston, RI 02919-7124
Mailing address
1139 Hartford Ave Apt 5B
Johnston, RI 02919-7124
Phone (401) 623-6363
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 |
|---|---|---|---|
| OT01478 | RI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1679969349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 HARTFORD AVE APT 5B",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029197124",
"telephone_number": "401-623-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 HARTFORD AVE APT 5B",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029197124",
"telephone_number": "401-623-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZZARESCHI",
"first_name": "SLOAN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT01478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.