Individual provider Active NPI

Lori Leigh Laxton, COTA/L

  • Environmental Modification Occupational Therapy Assistant
  • Beckley, WV
National Provider Identifier
1992401509
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X
License
C1825 Issued in WV
Practice address
1769 Robert C Byrd Dr
Beckley, WV 25801-8707
Phone
(304) 860-1048
Fax
(304) 860-1049
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapy Assistant 224ZE0001X C1825 WV Primary

Addresses

Primary practice location

1769 Robert C Byrd Dr
Beckley, WV 25801-8707

Mailing address

1769 Robert C Byrd Dr
Beckley, WV 25801-8707
Phone (304) 860-1048

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C1825WVMDEnvironmental Modification Occupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Outpatient Clinic LLC CurrentSince Feb 12, 2023 Accepting new patients

Locations

1769 Robert C Byrd Dr
Beckley, WV 25801
Phone (304) 222-2329

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1992401509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258018707",
            "telephone_number": "304-860-1048",
            "fax_number": "304-860-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258018707",
            "telephone_number": "304-860-1048",
            "fax_number": "304-860-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAXTON",
        "first_name": "LORI",
        "middle_name": "LEIGH",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "WV",
            "license": "C1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.