Individual provider Active NPI

Carol Lochhead, O.T.R.

  • Pediatric Occupational Therapist
  • Stuart, FL
National Provider Identifier
1689757304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 9179 Issued in FL
Practice address
5676 SE Sailfish Way
Stuart, FL 34997-2453
Phone
(772) 286-4766
Fax
(772) 286-5451
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 9179 FL Primary

Addresses

Primary practice location

5676 SE Sailfish Way
Stuart, FL 34997-2453

Mailing address

5676 SE Sailfish Way
Stuart, FL 34997-2453
Phone (772) 286-4766

Other identifiers 1

IdentifierTypeStateIssuer
Z9992OtherFLBCBS

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

LicenseStateTypeSpecialty
OT 9179FLMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689757304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5676 SE SAILFISH WAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349972453",
            "telephone_number": "772-286-4766",
            "fax_number": "772-286-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 SE SAILFISH WAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349972453",
            "telephone_number": "772-286-4766",
            "fax_number": "772-286-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCHHEAD",
        "first_name": "CAROL",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 9179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z9992",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.