=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922753722
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LORIE TIMM SCHEER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2022
-----------------------------------------------------
Last Update Date | 02/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2 COULTER RD
-----------------------------------------------------
City | CLIFTON SPRINGS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14432-1122
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-922-1113
-----------------------------------------------------
Fax | 315-401-7391
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 TERRACE DR
-----------------------------------------------------
City | FAIRPORT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14450-1946
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-766-4911
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 224Z00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapy Assistant
-----------------------------------------------------
License Number | 011029
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------