Individual provider Active NPI

Laurie Ann Vitiello, OTR/L CHT.

  • Occupational Therapist
  • Arcadia, CA
National Provider Identifier
1801154661
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 1108 Issued in CA
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

Updated by the provider on Mar 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT 1108CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fortanasce Physical Therapy, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.