Active NPI
Lauren Jack
- Occupational Therapist
- Pittsburgh, PA
National Provider Identifier
1538419445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC012500
- Practice address
- 7060 Highland Drive
Pittsburgh, PA 15206 - Phone
- (412) 655-6746
- NPI assigned
- Sep 18, 2012
- 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 | OC012500 | PA | Primary |
Addresses
Primary practice location
7060 Highland Drive
Pittsburgh, PA 15206
Mailing address
PO Box 870
403 Sixth Street
Huntingdon, PA 16652
Phone (814) 506-8212
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 |
|---|---|---|---|
| OC012500 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Therapy, Inc. | Past | Accepting new patients | |
| Benchmark Therapy, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1922553965
-
- Physical Therapy Clinic/Center
- Duncansville, PA
- NPI 1457365439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1538419445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 870",
"address_2": "403 SIXTH STREET",
"city": "HUNTINGDON",
"state": "PA",
"postal_code": "16652",
"telephone_number": "814-506-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7060 HIGHLAND DRIVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15206",
"telephone_number": "412-655-6746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACK",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC012500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.