Individual provider Active NPI

Lauren Elizabeth Janke

  • Occupational Therapist
  • Gilbert, AZ
National Provider Identifier
1053921387
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-008532 Issued in AZ
Practice address
690 E Warner Rd Ste 105
Gilbert, AZ 85296-3055
Phone
(480) 820-6366
NPI assigned
Aug 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 OTH-008532 AZ Primary

Addresses

Primary practice location

690 E Warner Rd Ste 105
Gilbert, AZ 85296-3055

Mailing address

8980 N Lawndale Dr
Tucson, AZ 85743-8952
Phone (520) 609-7389

Other practice location 1

8980 N Lawndale Dr
Tucson, AZ 85743-8952
Phone (520) 609-7389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230504002818 AZ Practitioner - Occupational Therapist in Private Practice 1355706888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-008532AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Solutions, LLC CurrentSince Feb 1, 2023 Accepting new patients
Mentis Reo, LLC. CurrentSince Feb 1, 2023 Accepting new patients

Locations

690 E Warner Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 820-6366

Organizations & group practices 2

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": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1053921387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 N LAWNDALE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857438952",
            "telephone_number": "520-609-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963055",
            "telephone_number": "480-820-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8980 N Lawndale Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857438952",
            "country_code": "US",
            "telephone_number": "520-609-7389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANKE",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.