Individual provider Active NPI

Jason Francis Laack

  • Occupational Therapy Assistant
  • Sarasota, FL
National Provider Identifier
1619458734
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
15343 Issued in FL
Practice address
700 John Ringling Blvd FL 34236
Sarasota, FL 34236-1542
Phone
(941) 365-2600
NPI assigned
Aug 27, 2018
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 214627 TX
Occupational Therapy Assistant 224Z00000X 15343 FL Primary

Addresses

Primary practice location

700 John Ringling Blvd FL 34236
Sarasota, FL 34236-1542

Mailing address

99 Rotonda Cir
Rotonda West, FL 33947-2241
Phone (223) 834-1140

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
15343FLMDOccupational Therapy Assistant
214627TXMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1619458734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROTONDA CIR",
            "city": "ROTONDA WEST",
            "state": "FL",
            "postal_code": "339472241",
            "telephone_number": "223-834-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 JOHN RINGLING BLVD FL 34236",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342361542",
            "telephone_number": "941-365-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAACK",
        "first_name": "JASON",
        "middle_name": "FRANCIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214627",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "15343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.