Marilyn J Lantz, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA169 Issued in CA

Practice address

5930 Adobe Rd
Twentynine Palms, CA 92277-2356

Phone

(760) 367-1743

Fax

(760) 367-1083

NPI assigned

Feb 10, 2012

Last updated

Feb 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marilyn J Mathews Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• H.D.P.R.G., Inc

  dba Hi-Desert Physical Rehabilitation Group

  • Speech-Language Pathologist
  • Twentynine Palms, CA
  • NPI 1295886067
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1518230291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922520809",
            "telephone_number": "760-366-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ADOBE RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772356",
            "telephone_number": "760-367-1743",
            "fax_number": "760-367-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "MARILYN",
        "middle_name": "J",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "MATHEWS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Todd Kramer, M.D.
• Koichi Shun Kunitake
• Urian Kyung
• Jennifer Anne Langley, M.A.
• Michael Lanker, D.O.
• Bruce R Laverty, MD
• Anne Marie Lear, CPNP
• Renee Eunhae Lee, DDS
• Erik Forest Lemay
• Trenten Letcher

• Occupational Therapy Assistant in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.