Individual provider Active NPI

Lori Wilson Hiatt, OTR/L CHT

  • Hand Occupational Therapist
  • Boone, NC
National Provider Identifier
1801879408
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
520 Issued in NC
Practice address
324 NC-105 Extension Suite 12
Boone, NC 28607
Phone
(828) 386-1285
Fax
(828) 222-6030
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 520 NC Primary

Addresses

Primary practice location

324 NC-105 Extension Suite 12
Boone, NC 28607

Mailing address

325 Water Falls Rd
Boone, NC 28607-5690
Phone (704) 450-0127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000740 NC Practitioner - Occupational Therapist in Private Practice 7113937616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
B3 Therapy PLLCGroup PAC ID 7618247040, 2 clinicians

Practice addresses (Care Compare)

324 Hwy 105 Ext
Suite 12
Boone, NC 28607-6242
Phone (828) 386-1285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0520NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Motionatomy, PLLC CurrentSince May 1, 2012 Accepting new patients
B3 Therapy, PLLC CurrentSince May 9, 2017 Accepting new patients

Locations

324 Highway 105 Ext
Ste 12
Boone, NC 28607
Phone (828) 386-1285

517 Alcove Rd
Ste 101
Mooresville, NC 28117
Phone (704) 450-0127

124 Town Center Dr
Mooresville, NC 28117
Phone (704) 450-0127

Organizations & group practices 2

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1801879408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WATER FALLS RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075690",
            "telephone_number": "704-450-0127",
            "fax_number": "828-386-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 NC-105 EXTENSION SUITE 12",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-386-1285",
            "fax_number": "828-222-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "LORI",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.