Active NPI
James Neubaum, OT
- Occupational Therapist
- Lynchburg, VA
National Provider Identifier
1396957833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119003716
- Practice address
- 201 Lillian Lane
Lynchburg, VA 24502 - Phone
- (434) 316-0254
- Fax
- (434) 316-0253
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225X00000X | 0119003716 | VA | Primary |
Addresses
Primary practice location
201 Lillian Lane
Lynchburg, VA 24502
Mailing address
107 Wynsong Place
Lynchburg, VA 24502
Phone (434) 363-6821
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 |
|---|---|---|---|
| 0119003716 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1396957833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WYNSONG PLACE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24502",
"telephone_number": "434-363-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LILLIAN LANE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24502",
"telephone_number": "434-316-0254",
"fax_number": "434-316-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUBAUM",
"first_name": "JAMES",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119003716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.