Active NPI
Lori Porter, OT
- Occupational Therapist
- Ashland, KY
National Provider Identifier
1871051003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 246996
- Practice address
- 3701 Landsdowne Dr
Ashland, KY 41102-5422 - Phone
- (606) 324-3005
- Fax
- (606) 329-1530
- NPI assigned
- Mar 6, 2019
- 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 | 246996 | KY | Primary |
Addresses
Primary practice location
3701 Landsdowne Dr
Ashland, KY 41102-5422
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other names 1
- Lori Shonkwiler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246996 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Inc | Current | Accepting new patients | |
| Pathways, Inc | Current | Accepting new patients | |
| Pathways, Inc. | Past | Accepting new patients |
Locations
3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1982615043
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1609260199
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1841355724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1871051003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411050790",
"telephone_number": "606-329-8588",
"fax_number": "606-329-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 LANDSDOWNE DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411025422",
"telephone_number": "606-324-3005",
"fax_number": "606-329-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "LORI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "246996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "SHONKWILER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.