Individual provider Active NPI

Jane H Min, OTD, OTR/L

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1013689413
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3130 Wilshire Blvd Ste 409
Los Angeles, CA 90010-1206
Phone
(213) 389-1004
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

3130 Wilshire Blvd Ste 409
Los Angeles, CA 90010-1206

Mailing address

3130 Wilshire Blvd Ste 409
Los Angeles, CA 90010-1206
Phone (213) 389-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127003615 CA Practitioner - Occupational Therapist in Private Practice 2264910785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3130 Wilshire Blvd
Suite 409
Los Angeles, CA 90010-1206

41856 Ivy St
Suite 213
Murrieta, CA 92562-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
High Five Hand Therapy and Rehabilitation la LLC Occupational Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

3130 Wilshire Blvd
Ste 409
Los Angeles, CA 90010
Phone (213) 389-1004

Interoperability endpoints

  • Direct secure messaging: jane.minotdotr.p29@direct.newportmed.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1013689413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 WILSHIRE BLVD STE 409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101206",
            "telephone_number": "213-389-1004",
            "fax_number": "213-263-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 WILSHIRE BLVD STE 409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101206",
            "telephone_number": "213-389-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "JANE",
        "middle_name": "H",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.