Individual provider Active NPI

Lori Allison Perucci, OTR/L

  • Occupational Therapist
  • Bronx, NY
National Provider Identifier
1962778126
Registry record updated Mar 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016929 Issued in NY
Practice address
3990 Hillman Ave
Bronx, NY 10463-3002
Phone
(718) 548-3675
NPI assigned
Mar 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 016929 NY Primary

Addresses

Primary practice location

3990 Hillman Ave
Bronx, NY 10463-3002

Mailing address

3990 Hillman Ave
Bronx, NY 10463-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180322001872 NY Practitioner - Occupational Therapist in Private Practice 0941562300 Reassigns benefits to 2 organizations
I20220830000448 NJ Practitioner - Occupational Therapist in Private Practice 0941562300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC Occupational Therapist CurrentSince Feb 26, 2018 Accepting new patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Aug 1, 2022 Accepting new patients
Ospt of Clifton LLC Occupational Therapist PastSince Oct 13, 2024 Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333152000000",
    "number": "1962778126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 HILLMAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 HILLMAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633002",
            "telephone_number": "718-548-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUCCI",
        "first_name": "LORI",
        "middle_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-31",
        "last_updated": "2012-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2012; 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.