Individual provider Active NPI

Laurann Marie Putnam, OTR/L

  • Occupational Therapist
  • Los Gatos, CA
National Provider Identifier
1245255280
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1479 Issued in CA
Practice address
114 Royce St Ste E
Los Gatos, CA 95030-6041
Phone
(408) 358-1460
Fax
(408) 358-1459
NPI assigned
Jul 12, 2006
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 OT1479 CA Primary

Addresses

Primary practice location

114 Royce St Ste E
Los Gatos, CA 95030-6041

Mailing address

114 Royce St Ste E
Los Gatos, CA 95030-6041
Phone (408) 358-1460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121009000458 CA Practitioner - Occupational Therapist in Private Practice 0547419491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Gatos Hand Therapy LLCGroup PAC ID 8426463845, 3 clinicians

Practice addresses (Care Compare)

114 Royce St
Suite E
Los Gatos, CA 95030-6041
Phone (408) 358-1460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT1479CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Gatos Hand Therapy, LLC Occupational Therapist CurrentSince Mar 18, 2021 Accepting new patients
Richard P. Carr Physical Therapy Inc Past Accepting new patients

Locations

114 Royce St
Ste E
Los Gatos, CA 95030
Phone (408) 358-1460

16615 Lark Ave
Ste 101
Los Gatos, CA 95032
Phone (408) 358-1460

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1245255280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ROYCE ST STE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306041",
            "telephone_number": "408-358-1460",
            "fax_number": "408-358-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ROYCE ST STE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306041",
            "telephone_number": "408-358-1460",
            "fax_number": "408-358-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "LAURANN",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.