Active NPI
Jay L Lauer, OT
- Occupational Therapist
- Leesburg, VA
National Provider Identifier
1043464753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119002685
- Practice address
- 44035 Riverside Pkwy
Suite 500a
Leesburg, VA 20176-8260 - Phone
- (703) 858-6667
- Fax
- (703) 858-6665
- NPI assigned
- Nov 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119002685 | VA | Primary |
Addresses
Primary practice location
44035 Riverside Pkwy
Suite 500a
Leesburg, VA 20176-8260
Mailing address
9900 Main St
Suite 200a
Fairfax, VA 22031-3907
Phone (703) 279-4249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119002685 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1043464753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 MAIN ST",
"address_2": "SUITE 200A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313907",
"telephone_number": "703-279-4249",
"fax_number": "703-279-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44035 RIVERSIDE PKWY",
"address_2": "SUITE 500A",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768260",
"telephone_number": "703-858-6667",
"fax_number": "703-858-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUER",
"first_name": "JAY",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119002685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.