Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren E Illencik, ORT/L

Individual provider Occupational Therapist · NPI 1366021354

Lauren E Illencik, ORT/L is an Occupational Therapist in Virginia Beach, Virginia. Works from 2 locations. Licensed in Arizona and Virginia.

Licensed in
AZ, VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

5301 Providence Rd Ste 80AND90
Virginia Beach, VA 23464-4128
Phone: (757) 467-4604
Fax: (757) 467-2716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5130 N Us Highway 89, Flagstaff, AZ 86004-2837 — (928) 773-2054

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119008159 (VA)
Occupational Therapist Taxonomy 225X00000X · Licence 009314 (AZ)

Record details

NPI number1366021354
Entity typeIndividual (Type 1)
GenderFemale
Credentials ORT/L
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

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