Active NPI
Lorraine Renee Mitchell, OTR/L
- Occupational Therapist
- Edgewood, WA
National Provider Identifier
1932437696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00001032
- Practice address
- 413 104TH Avenue Court East
Edgewood, WA 98372-6011 - Phone
- (253) 961-1486
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00001032 | WA | Primary |
| Occupational Therapist | 225X00000X | OT 12658 | FL |
Addresses
Primary practice location
413 104TH Avenue Court East
Edgewood, WA 98372-6011
Mailing address
413 104TH Avenue Court E
Edgewood, WA 98372
Phone (253) 961-1486
Other names 1
- Ms. Lorraine Renee Mitchell
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 12658 | FL | MD | Occupational Therapist |
| OT00001032 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Fracture and Orthopaedic Clinic, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1285677054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1932437696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 104TH AVENUE COURT E",
"city": "EDGEWOOD",
"state": "WA",
"postal_code": "98372",
"telephone_number": "253-961-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 104TH AVENUE COURT EAST",
"city": "EDGEWOOD",
"state": "WA",
"postal_code": "983726011",
"telephone_number": "253-961-1486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "LORRAINE",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00001032",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 12658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORRAINE",
"last_name": "MITCHELL",
"middle_name": "RENEE",
"prefix": "MS.",
"credential": "OT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Edgewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.