Lorri Ann Gardner, COTA
Individual provider Active NPI Occupational Therapy Assistant · Greenville, NY
NPI 1982975017 · NPPES record last updated Jan 20, 2012
Key facts
- NPI
- 1982975017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 64003148 (NY)
- Practice address
- 5600 Sr 81
Greenville, NY 12083 - Phone
- (518) 966-4503
- NPI assigned
- Jan 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64003148 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 64003148 | NY | Yes |
Addresses
Primary practice location
5600 Sr 81
Greenville, NY 12083
Mailing address
5600 Sr 81
Greenville, NY 12083
Phone (518) 966-4503
Other providers in Greenville, NY
- Dawn Dewey
- Kelly Ann Fagan
- Bethany Lynn Fishman
- Mary Fronk
- Gloria Fuina-Darrah
- Gloria Fuina Darrah Rpa
- Greenville Central School District
- Greenville Family Dental, PC
- Greenville Medical Associate, PC
- Greenville Rescue Squad Inc
All providers in Greenville, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.