Individual provider Active NPI

Jennifer Rose Lazinsk, OTR/L

  • Pediatric Occupational Therapist
  • Durham, NC
National Provider Identifier
1396979829
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
7105 Issued in NC
Practice address
3930 Swarthmore Rd
Durham, NC 27707-5314
Phone
(919) 321-2183
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 7105 NC Primary

Addresses

Primary practice location

3930 Swarthmore Rd
Durham, NC 27707-5314

Mailing address

3930 Swarthmore Rd
Durham, NC 27707-5314
Phone (919) 241-4543

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

LicenseStateTypeSpecialty
7105NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Place to Grow, Inc. Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1396979829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 SWARTHMORE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075314",
            "telephone_number": "919-241-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 SWARTHMORE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075314",
            "telephone_number": "919-321-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZINSK",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "7105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.