Individual provider Active NPI

Lynn Lam-Salvaggio, OTR

  • Occupational Therapist
  • Laguna Niguel, CA
National Provider Identifier
1760670640
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5614 Issued in CA
Practice address
25312 Via Piedra Roja
Laguna Niguel, CA 92677-1824
Phone
(949) 495-0772
Fax
(949) 495-0772
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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 OT5614 CA Primary

Addresses

Primary practice location

25312 Via Piedra Roja
Laguna Niguel, CA 92677-1824

Mailing address

PO Box 7241
Laguna Niguel, CA 92607-7241
Phone (949) 495-0772

Other identifiers 1

IdentifierTypeStateIssuer
WOT5614OtherCAMEDICARE PPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000849 CA Practitioner - Occupational Therapist in Private Practice 5193733244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5614CAMDMassage Therapist
OT5614CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy Services, PC Occupational Therapist CurrentSince Sep 30, 2024 Accepting new patients
Everyone Has Potential, Inc Occupational Therapist Current Accepting new patients
New Life Healthcare, LLC Past Accepting new patients

Locations

5321 La Palma Ave
La Palma, CA 90623

27762 Forbes Rd
Laguna Niguel, CA 92677
Phone (749) 676-0197

26151 Country Club Dr
Mission Viejo, CA 92691
Phone (949) 203-0009

12291 Newport Ave
Santa Ana, CA 92705
Phone (714) 544-5959

Organizations & group practices 3

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1760670640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7241",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077241",
            "telephone_number": "949-495-0772",
            "fax_number": "949-495-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25312 VIA PIEDRA ROJA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771824",
            "telephone_number": "949-495-0772",
            "fax_number": "949-495-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM-SALVAGGIO",
        "first_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT5614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPIN",
            "identifier": "WOT5614",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.