Active NPI
Lori Zack
- Gerontology Occupational Therapist
- San Diego, CA
National Provider Identifier
1730679531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- Practice address
- 4834 Lehrer Dr
San Diego, CA 92117-1360 - Phone
- (858) 775-7630
- NPI assigned
- May 16, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | Primary |
Addresses
Primary practice location
4834 Lehrer Dr
San Diego, CA 92117-1360
Mailing address
4834 Lehrer Dr
San Diego, CA 92117-1360
Phone (858) 775-7630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT3225 | Other | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1730679531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4834 LEHRER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921171360",
"telephone_number": "858-775-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4834 LEHRER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921171360",
"telephone_number": "858-775-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACK",
"first_name": "LORI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "OT3225",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.