Loretta B Dolan, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC015849 Issued in PA

Practice address

822 Montgomery Ave
Narberth, PA 19072-1937

Phone

(215) 220-2210

NPI assigned

Dec 16, 2018

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

Other names 1

• Loretta B Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1770054033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 W CROWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MONTGOMERY AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721937",
            "telephone_number": "215-220-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "LORETTA",
        "middle_name": "B",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00851000",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORETTA",
            "last_name": "SMITH",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dante Decrescenzo, DMD
• Megan Deiling
• Rishin Desai, D.M.D.
• Michael Devon, MD
• DMD Endeavors
• Sarah Weiss Domis, MS, LPC
• Paul Dormont, M.D.
• Heidi Doucette, RPH, PHARMD
• Charlotte Douge
• Sarah Dougherty

• All providers in Narberth, PA
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; 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.