Active NPI
Lauren Ann Walker, PT, DPT, OTR/L, MOT
- Occupational Therapist
- St Augustine, FL
National Provider Identifier
1851641096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15338
- Practice address
- 148 Toscana LN
St Augustine, FL 32092-4521 - Phone
- (919) 624-1685
- NPI assigned
- Sep 14, 2012
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT29000 | FL | |
| Occupational Therapist | 225X00000X | 15338 | FL | Primary |
Addresses
Primary practice location
148 Toscana LN
St Augustine, FL 32092-4521
Mailing address
148 Toscana LN
St Augustine, FL 32092-4521
Phone (919) 624-1685
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 |
|---|---|---|---|
| PT29000 | FL | MD | Physical Therapist |
| 15338 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851641096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 TOSCANA LN",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320924521",
"telephone_number": "919-624-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 TOSCANA LN",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320924521",
"telephone_number": "919-624-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "LAUREN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT, DPT, OTR/L, MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29000",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "15338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.