Active NPI
Lila Jane Zander, O.T.
- Occupational Therapist
- Spokane Valley, WA
National Provider Identifier
1508981838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00004001
- Practice address
- 3808 N Sullivan Rd
BLDG. # S-7
Spokane Valley, WA 99216-1608 - Phone
- (509) 924-2850
- Fax
- (509) 891-8005
- NPI assigned
- Mar 19, 2007
- 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 | OT00004001 | WA | Primary |
Addresses
Primary practice location
3808 N Sullivan Rd
BLDG. # S-7
Spokane Valley, WA 99216-1608
Mailing address
4605 N Harvard Rd
Otis Orchards, WA 99027-9373
Phone (509) 924-2805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7683725 | Medicaid | WA |
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 |
|---|---|---|---|
| OT00004001 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508981838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 N HARVARD RD",
"city": "OTIS ORCHARDS",
"state": "WA",
"postal_code": "990279373",
"telephone_number": "509-924-2805",
"fax_number": "509-891-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 N SULLIVAN RD",
"address_2": "BLDG. # S-7",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161608",
"telephone_number": "509-924-2850",
"fax_number": "509-891-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANDER",
"first_name": "LILA",
"middle_name": "JANE",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00004001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7683725",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.