Jessica Lague, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

072.0074914 Issued in VT

Practice address

1940 Bonita Dr
Aptos, CA 95003-5524

Phone

(831) 684-1804

NPI assigned

Mar 18, 2013

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pediatric Therapy Center

  • Pediatric Occupational Therapist
  • Aptos, CA
  • NPI 1558488361
  NPD (past)

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1164764098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056731005",
            "telephone_number": "802-730-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 BONITA DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950035524",
            "telephone_number": "831-684-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUE",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 8304",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072.0074914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kory Krebs
• Garrett S Kubota, DDS
• Zoe Kunstenaar
• Christina Lee Kuo, PHARMD
• Laura May Jenkins Kurek
• Kalle Mikael Laitinen, BCBA
• Richard Edward Laitinen, PH.D.
• Johanna Mya Lambert, MA., CCC-SLP
• Rachel Landry, MA, CCC-SLP
• Alexis Grace Lane, MD FACS

• Occupational Therapist in Aptos, CA
• Providers in Aptos, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.