Active NPI
Lauren Jackson
- Occupational Therapy Assistant
- Orlando, FL
National Provider Identifier
1215893540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA16399
- Practice address
- 1239 Mount Vernon St
Orlando, FL 32803-5417 - Phone
- (407) 810-2773
- Fax
- (407) 867-6203
- NPI assigned
- Dec 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA16399 | FL | Primary |
Addresses
Primary practice location
1239 Mount Vernon St
Orlando, FL 32803-5417
Mailing address
1239 Mount Vernon St
Orlando, FL 32803-5417
Phone (407) 810-2773
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 |
|---|---|---|---|
| OTA16399 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1215893540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 MOUNT VERNON ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035417",
"telephone_number": "407-810-2773",
"fax_number": "407-867-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 MOUNT VERNON ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035417",
"telephone_number": "407-810-2773",
"fax_number": "407-867-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-30",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA16399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.