Organization Active NPI

Dr. Danae Lane Otd Corp.

  • Clinic/Center
  • Aptos, CA
National Provider Identifier
1306505813
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR. DANAE LANE OTD CORP.
Practice address
9019 Soquel Dr
Aptos, CA 95003-4059
Phone
(831) 227-1772
NPI assigned
Dec 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2021

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

Authorized official

Name
Danae Lane, OTR/LNPI 1225600422
Title
Occupational Therapist
Phone
(831) 227-1772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9019 Soquel Dr
Aptos, CA 95003-4059

Mailing address

9019 Soquel Dr
Aptos, CA 95003-4059

Other names 1

  • Roots Pediatric Occupational Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

National Provider Directory

National Provider Directory

Locations

9019 Soquel Dr
Aptos, CA 95003
Phone (831) 227-1772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639267200000",
    "number": "1306505813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 SOQUEL DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 SOQUEL DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034059",
            "telephone_number": "831-227-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANAE LANE OTD CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DANAE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "831-227-1772",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "9019 Soquel Dr",
            "city": "Aptos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950034059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roots Pediatric Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.