Active NPI
Laurie J Carr, LAURIE CARR
- Occupational Therapist
- Syracuse, NY
National Provider Identifier
1881970994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 007291-1
- Practice address
- 450 Durston Ave
Syracuse, NY 13203-1105 - Phone
- (315) 435-4570
- Fax
- (315) 435-6212
- NPI assigned
- Nov 2, 2011
- 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 | 007291-1 | NY | Primary |
Addresses
Primary practice location
450 Durston Ave
Syracuse, NY 13203-1105
Mailing address
5365 Ledgestone LN
Brewerton, NY 13029-9458
Phone (315) 288-4018
Other names 1
- Laurie J Carr
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 |
|---|---|---|---|
| 007291-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1881970994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5365 LEDGESTONE LN",
"city": "BREWERTON",
"state": "NY",
"postal_code": "130299458",
"telephone_number": "315-288-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 DURSTON AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031105",
"telephone_number": "315-435-4570",
"fax_number": "315-435-6212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "LAURIE",
"middle_name": "J",
"credential": "LAURIE CARR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "007291-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "CARR",
"middle_name": "J",
"credential": "LAURIE CARR OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.