Individual provider Active NPI

Lori Jean Coey-Ritter, OTR/L

  • Occupational Therapist
  • Cornville, AZ
National Provider Identifier
1720172182
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2122 Issued in AZ
Practice address
1035 S Morning Light CT
Cornville, AZ 86325
Phone
(928) 634-9702
Fax
(928) 634-9702
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2122 AZ Primary

Addresses

Primary practice location

1035 S Morning Light CT
Cornville, AZ 86325

Mailing address

1035 S Morning Light CT
Cornville, AZ 86325
Phone (928) 634-9702

Other identifiers 1

IdentifierTypeStateIssuer
118084MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402001452 AZ Practitioner - Occupational Therapist in Private Practice 2163860768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Verde Valley Occupational Therapy LLC Occupational Therapist CurrentSince Jan 16, 2024 Accepting new patients
Occupational Therapy Services of Verde Valley, Inc. Past Accepting new patients

Locations

897 Cove Pkwy
Ste 101
Cottonwood, AZ 86326
Phone (520) 634-0488

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1720172182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S MORNING LIGHT CT",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "86325",
            "telephone_number": "928-634-9702",
            "fax_number": "928-634-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S MORNING LIGHT CT",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "86325",
            "telephone_number": "928-634-9702",
            "fax_number": "928-634-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEY-RITTER",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "2122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118084",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornville, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.