Lora Danielle Ottaviano, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030292 Issued in NY

Practice address

72 Croft LN
Smithtown, NY 11787-4112

Phone

(631) 672-8413

NPI assigned

Aug 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1871140046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CROFT LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874112",
            "telephone_number": "631-672-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CROFT LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874112",
            "telephone_number": "631-672-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAVIANO",
        "first_name": "LORA",
        "middle_name": "DANIELLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030292",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andri Warren G Ortega X, PTA
• Kathryn Elizabeth Ortsman
• Kathleen Osman, RPA-C
• Monica Osorio-Sarosi
• Osteo Relief of Long Island PC
• Lori Ottaviano, L.AC. DIPL.AC.
• Alexandra Outsen, NP
• Nicole Overin
• Armen Ovsepian, M.D.
• Teresa Owenburg, PMHNP-BC

• Speech-Language Pathologist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.