Laura Anne Bostock, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17484 Issued in CA

Practice address

5945 Pacific Center Blvd Ste 510
San Diego, CA 92121-6305

Phone

(858) 695-9444

NPI assigned

Dec 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ronald Reagan Charter School Alliance

  • Local Education Agency (LEA)
  • Murrieta, CA
  • NPI 1790331502
  NPD (past)

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1801368972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 JOSHUA TREE CT",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925705565",
            "telephone_number": "805-405-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 PACIFIC CENTER BLVD STE 510",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216305",
            "telephone_number": "858-695-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35755 Abelia St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "CA",
            "postal_code": "925968450",
            "country_code": "US",
            "telephone_number": "951-926-9037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23151 Palomar St",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925629495",
            "country_code": "US",
            "telephone_number": "951-678-5217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTOCK",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "380689",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "10450587-4201",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT - NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "380689",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennaveve Bossard, RBT
• Alicia Meghan Bosse
• Hayden Bost
• Kyle Bostedt, PT, DPT
• Karen Patricia Bostock, L.AC.
• Boston Medical Group California, L.L.C.
• Gilbert Erich Boswell, M.D.
• Hannah Boswell
• James Darnell Boswell
• Lanny L Boswell, PHD

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; 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.