Active NPI
Laura Reeves Jordan, OTR/L
- Occupational Therapist
- Turlock, CA
National Provider Identifier
1093067928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5826
- Practice address
- 2125 N Olive Ave
Turlock, CA 95382-1947 - Phone
- (209) 216-5648
- Fax
- (209) 664-5625
- NPI assigned
- Oct 2, 2012
- 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 | 5826 | CA | Primary |
Addresses
Primary practice location
2125 N Olive Ave
Turlock, CA 95382-1947
Mailing address
4560 SE International Way
Suite 100
Milwaukie, OR 97222-4628
Phone (971) 206-5140
Other names 1
- Laura Alta Reeves
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1093067928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"address_2": "SUITE 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "971-206-5140",
"fax_number": "971-206-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 N OLIVE AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821947",
"telephone_number": "209-216-5648",
"fax_number": "209-664-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "LAURA",
"middle_name": "REEVES",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-02",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "5826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "REEVES",
"middle_name": "ALTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.