Active NPI
Jane Martin-Lacroix, OTR
- Occupational Therapist
- Anaheim, CA
National Provider Identifier
1447679378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5636
- Practice address
- 2121 S Towne Centre PL Ste 370
Anaheim, CA 92806-6146 - Phone
- (714) 922-4453
- Fax
- (714) 937-1531
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- 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 | 5636 | CA | Primary |
Addresses
Primary practice location
2121 S Towne Centre PL Ste 370
Anaheim, CA 92806-6146
Mailing address
2121 S Towne Centre PL Ste 370
Anaheim, CA 92806-6146
Phone (714) 922-4453
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 |
|---|---|---|---|
| 5636 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Southern California, Inc | 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.
-
- Behavior Analyst
- Anaheim, CA
- NPI 1427394865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1447679378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 S TOWNE CENTRE PL STE 370",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928066146",
"telephone_number": "714-922-4453",
"fax_number": "714-937-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 S TOWNE CENTRE PL STE 370",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928066146",
"telephone_number": "714-922-4453",
"fax_number": "714-937-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN-LACROIX",
"first_name": "JANE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "5636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.