Active NPI
Lauren Diana Bonacci
- Occupational Therapist
- Orlando, FL
National Provider Identifier
1851093082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15411
- Practice address
- 3452 Lake Lynda Dr Ste 200
Orlando, FL 32817-1481 - Phone
- (800) 774-7785
- NPI assigned
- Mar 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15411 | NC | Primary |
Addresses
Primary practice location
3452 Lake Lynda Dr Ste 200
Orlando, FL 32817-1481
Mailing address
3452 Lake Lynda Dr Ste 200
Orlando, FL 32817-1481
Phone (800) 774-7785
Other practice location 1
9401 Arrowpoint Blvd
Charlotte, NC 28273-8166
Phone (704) 426-3353
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15411 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1851093082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3452 LAKE LYNDA DR STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171481",
"telephone_number": "800-774-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3452 LAKE LYNDA DR STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171481",
"telephone_number": "800-774-7785"
}
],
"practiceLocations": [
{
"address_1": "9401 Arrowpoint Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282738166",
"country_code": "US",
"telephone_number": "704-426-3353",
"fax_number": "980-392-5580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONACCI",
"first_name": "LAUREN",
"middle_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.