Individual provider Active NPI

Jane Lavelle, OT

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1093570830
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2021037286 Issued in MO
Practice address
5232 Oakland Ave
Dept Occupational Therapy
Saint Louis, MO 63110-1436
Phone
(314) 286-1669
Fax
(314) 627-7219
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 2021037286 MO Primary

Addresses

Primary practice location

5232 Oakland Ave
Dept Occupational Therapy
Saint Louis, MO 63110-1436

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 286-1669

Other identifiers 1

IdentifierTypeStateIssuer
470139025MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328003318 MO Practitioner - Occupational Therapist in Private Practice 1951749746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Occupational Therapist CurrentSince Mar 11, 2024 Accepting new patients
Washington University CurrentSince Mar 11, 2024 Accepting new patients
Washington University Past Accepting new patients

Locations

4320 Forest Park Ave
Ste 302
Saint Louis, MO 63108

4444 Forest Park Ave
#8505
Saint Louis, MO 63108
Phone (314) 286-1612

4444 Forest Park Ave
Ste 2206
Saint Louis, MO 63108

5232 Oakland Ave
Saint Louis, MO 63110
Phone (314) 273-4119

1631 A Roy Dr
Washington, MO 63090

Organizations & group practices 3

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1093570830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-286-1669",
            "fax_number": "314-627-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 OAKLAND AVE",
            "address_2": "DEPT OCCUPATIONAL THERAPY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101436",
            "telephone_number": "314-286-1669",
            "fax_number": "314-627-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELLE",
        "first_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2025-04-17",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2021037286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470139025",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "5232 Oakland Ave",
            "address_2": "Dept Occupational Therapy",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.