IndividualActive
Lori Licker, OTR
NPI 1124336680 · Local Education Agency (LEA) · Central Islip, NY
Provider details
- NPI number
- 1124336680
- Entity type
- Individual
- Primary specialty
- Local Education Agency (LEA)Agencies
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2506 (NY)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 Maya Cir
Central Islip, NY 11722-4542
Phone: (631) 730-6401
Street-level locationGet directions
Mailing address
150 Maya Cir
Central Islip, NY 11722-4542
Registry dates
- Enumerated
- 2010-09-18
- Last updated
- 2010-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.