Ashley Marie Jardine, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13222 Issued in CA

Practice address

800 Lantern Crest Way
Santee, CA 92071-3690

Phone

(858) 717-4221

NPI assigned

Feb 5, 2013

Last updated

Feb 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Marie Tacloban Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

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.

• Mobile Therapy and Consulting

  • Physical Therapist
  • Santee, CA
  • NPI 1982889499
  Medicare reassignment
• Sabonjian Speech Services, Inc.

  • Speech-Language Pathologist
  • La Mesa, CA
  • NPI 1841425584

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1568701944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 VIA ISABEL",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194036",
            "telephone_number": "858-717-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LANTERN CREST WAY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713690",
            "telephone_number": "858-717-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDINE",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "TACLOBAN",
            "middle_name": "MARIE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• J. Michael Twichel DMD Inc. (Santee Dental Group)
• Julia Jacobsen
• Jadali and Rygg Dental Corporation (Santee Smiles Dentistry Dental Group)
• Jadali-Araghi and Nosti Dental Corporation (Santee Town Center Dental Group)
• Dina Jamil, PHARMACIST
• Jeanne M Grant Chiropractic Corp
• Dexter Anthony Jensen, M.D.
• Loise Waithira Jensen, LVN
• Regan Nicole Jensen, RN
• Woong Soo Jeon, L.AC.

• Occupational Therapist in Santee, CA
• Providers in Santee, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.