Individual provider Active NPI

Lila Jane Zander, O.T.

  • Occupational Therapist
  • Spokane Valley, WA
National Provider Identifier
1508981838
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00004001 Issued in WA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7683725MedicaidWA

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
OT00004001WAMDOccupational 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.

Verify at the official NPI Registry.