Active NPI
Joe Micheal Lowry, COTA/L
- Gerontology Occupational Therapist
- Lakeland, FL
National Provider Identifier
1760610877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- COTA/L9763
- Practice address
- 4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113 - Phone
- (863) 607-5841
- Fax
- (863) 644-4202
- NPI assigned
- Jun 26, 2009
- Sex
- Male
- 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 | COTA/L9763 | FL | Primary |
Addresses
Primary practice location
4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113
Mailing address
4240 Lakeland Highlands Rd
6310 Christina Grove Circle East
Lakeland, FL 33813-3113
Phone (863) 607-5940
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 |
|---|---|---|---|
| COTA/L9763 | FL | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1760610877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 LAKELAND HIGHLANDS RD",
"address_2": "6310 CHRISTINA GROVE CIRCLE EAST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338133113",
"telephone_number": "863-607-5940",
"fax_number": "863-644-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 LAKELAND HIGHLANDS RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338133113",
"telephone_number": "863-607-5841",
"fax_number": "863-644-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "JOE",
"middle_name": "MICHEAL",
"name_prefix": "Mr.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-26",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "FL",
"license": "COTA/L9763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.