Active NPI
Jennifer Landry
- Occupational Therapist
- Riverside, CA
National Provider Identifier
1457521742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3975
- Practice address
- 16653 Lake Knoll Pkwy
Riverside, CA 92503 - Phone
- (562) 858-7717
- NPI assigned
- Mar 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 3975 | CA | Primary |
Addresses
Primary practice location
16653 Lake Knoll Pkwy
Riverside, CA 92503
Mailing address
16653 Lake Knoll Pkwy
Riverside, CA 92503
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1457521742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16653 LAKE KNOLL PKWY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16653 LAKE KNOLL PKWY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92503",
"telephone_number": "562-858-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.