Patricia S Land, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

650 N Main St
Rockford, IL 61103-6921

Phone

(815) 965-6745

Fax

(815) 968-9563

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295939445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 RADNOR DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611093126",
            "telephone_number": "815-874-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611036921",
            "telephone_number": "815-965-6745",
            "fax_number": "815-968-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Anesthesiology, SC
• Radhikaben Lakhani
• June Upshaw Lallas, DDS
• Gabrielle Lalor, LPC
• Kasondra M Lamere, APRN
• Kelsey Lane, D.O.
• Lindsay M Lang-Gluscic
• Lisa Lang-Schacett
• Andrew S Lange, PT, DPT
• Krystle N Lange, D.O.

• All providers in Rockford, IL
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.