Individual provider Active NPI

Laura Dellacort-Erickson, OTR/L

  • Occupational Therapist
  • Redding, CA
National Provider Identifier
1871878538
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5408 Issued in CA
Practice address
1766 California St
Redding, CA 96001-1905
Phone
(530) 242-1511
NPI assigned
Oct 13, 2011
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT5408 CA Primary

Addresses

Primary practice location

1766 California St
Redding, CA 96001-1905

Mailing address

1766 California St
PO Box 991173
Redding, CA 96001-1905
Phone (530) 242-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120621000432 CA Practitioner - Occupational Therapist in Private Practice 8426212507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1255 Liberty St
Redding, CA 96001-0814
Phone (530) 246-2467

Merit-based Incentive Payment System (MIPS)

Final score
96.52 of 100Reported as group
Quality
92.31
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT5408CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Orthopedics & Sports Medicine a Medical Corporation CurrentSince Dec 5, 2017 Accepting new patients
Therapy Station Associates, Inc. Past Accepting new patients
Burch Physical Therapy, Inc. PastSince Jan 1, 1999 Accepting new patients
Apogee Outpatient Surgery Center Past Accepting new patients

Locations

1255 Liberty St
Redding, CA 96001
Phone (530) 246-2467

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1871878538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 CALIFORNIA ST",
            "address_2": "PO BOX 991173",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011905",
            "telephone_number": "530-242-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 CALIFORNIA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011905",
            "telephone_number": "530-242-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLACORT-ERICKSON",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT5408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.