Individual provider Active NPI

Thomas Lothamer, COTA

  • Occupational Therapy Assistant
  • Waco, TX
National Provider Identifier
1851684740
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
32001624A Issued in IN
Practice address
2320 Lake Shore Dr
Waco, TX 76708-1276
Phone
(877) 293-6287
Fax
(888) 215-2994
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32001624A IN Primary

Addresses

Primary practice location

2320 Lake Shore Dr
Waco, TX 76708-1276

Mailing address

6060 N Central Expy
Suite #460
Dallas, TX 75206-5209
Phone (877) 293-6287

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

LicenseStateTypeSpecialty
32001624AINMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1851684740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 N CENTRAL EXPY",
            "address_2": "SUITE #460",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065209",
            "telephone_number": "877-293-6287",
            "fax_number": "888-215-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081276",
            "telephone_number": "877-293-6287",
            "fax_number": "888-215-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTHAMER",
        "first_name": "THOMAS",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001624A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.