Active NPI
Laurie Ann Vitiello, OTR/L CHT.
- Occupational Therapist
- Arcadia, CA
National Provider Identifier
1801154661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 1108
- Practice address
- 671 W Naomi Ave
Arcadia, CA 91007-7502 - Phone
- (626) 446-7027
- Fax
- (626) 446-4723
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 1108 | CA | Primary |
| Hand Occupational Therapist | 225XH1200X | OT 1108 | CA |
Addresses
Primary practice location
671 W Naomi Ave
Arcadia, CA 91007-7502
Mailing address
8381 Fontainbleau Way
Cypress, CA 90630-2032
Phone (714) 826-6971
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 1108 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortanasce Physical Therapy, Inc | Past | Accepting new patients |
Interoperability endpoints
- laurie.vitiellootrcht.p1@direct.bpasten.nextgenshare.com
Organizations & group practices 1
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.
-
- Physical Therapist
- Arcadia, CA
- NPI 1013942036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1801154661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8381 FONTAINBLEAU WAY",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302032",
"telephone_number": "714-826-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 W NAOMI AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077502",
"telephone_number": "626-446-7027",
"fax_number": "626-446-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITIELLO",
"first_name": "LAURIE",
"middle_name": "ANN",
"credential": "OTR/L CHT.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 1108",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT 1108",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.