NPIMap

Individual provider Active NPI

Lorlie Benigno-Tesoriero

  • Occupational Therapist
  • Kirkland, WA
National Provider Identifier
1962812560
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4608 Issued in NM
Practice address
921 5TH Ave Apt C4
Suite C4
Kirkland, WA 98033-6393
Phone
(772) 380-3502
NPI assigned
May 5, 2014
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 60338983 WA
Occupational Therapist 225X00000X 3278 FL
Occupational Therapist 225X00000X 4608 NM Primary

Addresses

Primary practice location

921 5TH Ave Apt C4
Suite C4
Kirkland, WA 98033-6393

Mailing address

921 5TH Ave Apt C4
Suite C4
Kirkland, WA 98033-6393
Phone (772) 380-3502

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

LicenseStateTypeSpecialty
3278FLMDOccupational Therapist
4608NMMDOccupational Therapist
60338983WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1962812560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 5TH AVE APT C4",
            "address_2": "SUITE C4",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336393",
            "telephone_number": "772-380-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 5TH AVE APT C4",
            "address_2": "SUITE C4",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336393",
            "telephone_number": "772-380-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIGNO-TESORIERO",
        "first_name": "LORLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60338983",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "3278",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "4608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.