Active NPI
Jennifer L Lane, OT
- Occupational Therapist
- Wheeling, WV
National Provider Identifier
1568764652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 584
- Practice address
- 1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379 - Phone
- (304) 243-3195
- NPI assigned
- Nov 23, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 584 | WV | Primary |
| Occupational Therapist | 225X00000X | OT.003855 | OH |
Addresses
Primary practice location
1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379
Mailing address
1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379
Phone (304) 243-3195
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT.003855 | Other | OH | LICENSE |
| 584 | Other | WV | LICENSE |
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 |
|---|---|---|---|
| OT.003855 | OH | MD | Occupational Therapist |
| 584 | WV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1568764652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"address_2": "WHEELING HOSPITAL INC",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "304-243-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"address_2": "WHEELING HOSPITAL INC",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "304-243-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-23",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "584",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.003855",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OT.003855",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "584",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.