Olivia Lorenz, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

15302 Issued in NC

Practice address

106 Mt Vista Health Park Rd
Denton, NC 27239

Phone

(336) 859-2181

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1992411136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 2ND AVE UNIT B",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280232350",
            "telephone_number": "704-956-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MT VISTA HEALTH PARK RD",
            "city": "DENTON",
            "state": "NC",
            "postal_code": "27239",
            "telephone_number": "336-859-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "OLIVIA",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "15302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Hurst, COTA
• Christie Renee Jarrell-Smith, CADC
• Averille Kinley, RPH
• Legacy Healthcare
• Emily Logan
• Felizardo Hocbo Mangundayao, MD
• Wendy Sutts McLeod, M. ED.
• Misty Nichols Mize, LCSW
• Mountain Vista Health Park, Inc. (Mountain Vista Health Park)
• Mountain Vista Health Park, Inc. (Mountain Vista Health Park)

• Occupational Therapy Assistant in Denton, NC
• Providers in Denton, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.