Lara Jo Gordon, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0664 Issued in NH

Practice address

175 Blueberry LN
Laconia Rehabilitation Center
Laconia, NH 03246

Phone

(603) 524-3340

NPI assigned

Nov 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1720417686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SUMMER ST APT A",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463139",
            "telephone_number": "207-942-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BLUEBERRY LN",
            "address_2": "LACONIA REHABILITATION CENTER",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "03246",
            "telephone_number": "603-524-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LARA",
        "middle_name": "JO",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NH",
            "license": "0664",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "OTA-1267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Gibbs, MA LCMHC
• Coryleen B Gilbert, PT, MS, DPT
• Allison Gladden, OTR/L
• Celyne Godbout
• Kimberly Goldberg, MS
• Heather R Gourdin, ARNP
• Michelle Lee Gouveia, P.T.A.
• Steven Hollis Gove, PHARMACIST
• Heidi Goyette
• Raven Elizabeth Grady, MS OTR/L

• Occupational Therapy Assistant in Laconia, NH
• Providers in Laconia, NH by specialty
• Occupational Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.