Active NPI
Lori Marie Pippen, OTR
- Pediatric Occupational Therapist
- Texarkana, TX
National Provider Identifier
1720160070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 109611
- Practice address
- 1710 Moores LN
Texarkana, TX 75503-1858 - Phone
- (903) 794-2705
- Fax
- (903) 793-0058
- NPI assigned
- Oct 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR1547 | AR | |
| Pediatric Occupational Therapist | 225XP0200X | 109611 | TX | Primary |
Addresses
Primary practice location
1710 Moores LN
Texarkana, TX 75503-1858
Mailing address
PO Box 186
Maud, TX 75567-0186
Phone (903) 585-3322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021289601 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lpippen@tmrctxk.org | Direct |
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 |
|---|---|---|---|
| 109611 | TX | MD | Clinical Social Worker |
| OTR1547 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Memorial Pediatric Center Inc. | Current | Accepting new patients |
Locations
1710 Moores Ln
Texarkana, TX 75503
Phone (903) 794-2705
Interoperability endpoints
- lpippen@tmrctxk.org
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 and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Texarkana, TX
- NPI 1972654663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1720160070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "MAUD",
"state": "TX",
"postal_code": "755670186",
"telephone_number": "903-585-3322",
"fax_number": "903-585-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 MOORES LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031858",
"telephone_number": "903-794-2705",
"fax_number": "903-793-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPPEN",
"first_name": "LORI",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR1547",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "109611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021289601",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lpippen@tmrctxk.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1710 Moores Ln",
"city": "Texarkana",
"state": "TX",
"country_code": "US",
"postal_code": "755031858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.