Active NPI
Lora Graham, OTR/L
- Occupational Therapist
- The Villages, FL
National Provider Identifier
1881156610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT119111
- Practice address
- 1451 El Camino Real
The Villages, FL 32159-0041 - Phone
- (352) 408-7042
- NPI assigned
- Apr 1, 2019
- Last updated
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | OT119111 | FL | Primary |
Addresses
Primary practice location
1451 El Camino Real
The Villages, FL 32159-0041
Mailing address
906 N Chester St
Leesburg, FL 34748-4240
Phone (352) 408-7042
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 |
|---|---|---|---|
| OT119111 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1881156610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 N CHESTER ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484240",
"telephone_number": "352-408-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 EL CAMINO REAL",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321590041",
"telephone_number": "352-408-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "LORA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT119111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.