Active NPI
Connor Lowder
- Occupational Therapist
- Aliso Viejo, CA
National Provider Identifier
1891414165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23770
- Practice address
- 300 Freedom LN
Aliso Viejo, CA 92656-0001 - Phone
- (949) 334-2631
- NPI assigned
- Aug 22, 2022
- Last updated
- Aug 22, 2022
- Sex
- Male
- 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 | 23770 | CA | Primary |
Addresses
Primary practice location
300 Freedom LN
Aliso Viejo, CA 92656-0001
Mailing address
24 Calle Altea
San Clemente, CA 92673-6851
Phone (949) 374-7491
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 |
|---|---|---|---|
| 23770 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1891414165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CALLE ALTEA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736851",
"telephone_number": "949-374-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FREEDOM LN",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926560001",
"telephone_number": "949-334-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWDER",
"first_name": "CONNOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.