Lauren Odorisi

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

009391 Issued in AZ

Practice address

4114 N 28TH St Apt 3005
Phoenix, AZ 85016-5779

Phone

(914) 325-4532

Fax

(877) 407-4329

NPI assigned

Jan 27, 2021

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Mountain Therapy LLC

  dba Phoenix Mountain Therapy

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1053122689

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1942891577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 N 28TH ST APT 3005",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165779",
            "telephone_number": "914-325-4532",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 N 28TH ST APT 3005",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165779",
            "telephone_number": "914-325-4532",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODORISI",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025381",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "009391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Odle, FNP
• Adrianna Nellie Odogui
• Benjamin Scott Odom, DDS
• Renata Odongo, AT,CKTP. CGT
• Tracey Odorcic
• Ruth W. Oduori, M.ED.
• Adeoluwayimika Eremipo Odusi, M.D.
• Odyssey Healthcare Operating a LP (Odyssey HealthCare Of Phoenix)
• Oediv Corp. (Uptown Pharmacy)
• Kaitlyn Oelkers, MD

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.