MS. LAUREN M. DETULLIO OT
NPI 1689741050
Occupational Therapist - Hand in King Of Prussia, PA

Q: What is Lauren Detullio's NPI number?

The NPI number for Lauren Detullio is 1689741050. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Lauren Detullio's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Detullio was last updated on March 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 29, 2006Accepts Medicare Assignment

950 PULASKI DR STE 100, KING OF PRUSSIA, PA 19406(610) 768-4460(610) 768-5947 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Lauren M. Detullio Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LAUREN M. DETULLIO OT (NPI 1689741050) is an individual hand provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (OC008942) and active in the NPI registry since November 2006. She is a graduate of Other (2002).

NPPES Registry Identity

NPI1689741050

Entity TypeIndividualFemale

Primary Taxonomy225XH1200X

Provider Legal NameMS. LAUREN M. DETULLIOCredential: OT

Location Address950 PULASKI DR STE 100King Of Prussia, PA 19406-2802

Mailing Address950 Pulaski Dr Ste 100King Of Prussia, PA 19406-2802 · (484) 685-4801 · Fax (610) 768-5947

Phone(610) 768-4460

Fax(610) 768-5947

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateNovember 29, 2006

Last NPPES UpdateMarch 1, 2023

NPPES CertifiedMarch 1, 2023

✔ NPI 1689741050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225XH1200X

License✔ Licensed in PA · OC008942

Also ListedOccupational TherapistTaxonomy 225X00000X · License OC008942 (PA)

950 PULASKI DR STE 100, King Of Prussia, PA 19406

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Other Identifiers 2

Other2184913000PA · Ibc - Keystone

Other1495761PA · Ibc - Personal Choice

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lauren M. Detullio Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688049240

PECOS Enrollment IDI20230412002612, I20240319000920

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNALISA FRANZEN OT

Occupational Therapist (Hand)