Active NPI
Jacob Joseph Almanza, MS, OTR/L
- Occupational Therapist
- West Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31006579A
- Practice address
- 909 Sagamore Pkwy W Ste 917
West Lafayette, IN 47906-1443 - Phone
- (765) 463-0710
- Fax
- (765) 463-0711
- NPI assigned
- Sep 7, 2021
- Sex
- Male
- 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 | 31006579A | IN | Primary |
Addresses
Primary practice location
909 Sagamore Pkwy W Ste 917
West Lafayette, IN 47906-1443
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
3001 S Creasy Ln Ste B
Lafayette, IN 47905-5206
Phone (765) 423-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220502000728 | IN | Practitioner - Occupational Therapist in Private Practice | 4385031848 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Physician Network
Practice addresses (Care Compare)
909 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Phone (765) 463-6262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
3001 S Creasy Ln
Ste B
Lafayette, IN 47905
Phone (269) 718-9333
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
909 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-6262
909 Sagamore Pkwy W
Ste 917
West Lafayette, IN 47906
Phone (765) 463-0710
Organizations & group practices 3
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.
-
- Podiatrist
- Munster, IN
- NPI 1093188229
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1619646437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SAGAMORE PKWY W STE 917",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061443",
"telephone_number": "765-463-0710",
"fax_number": "765-463-0711"
}
],
"practiceLocations": [
{
"address_1": "3001 S Creasy Ln Ste B",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479055206",
"country_code": "US",
"telephone_number": "765-423-6885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALMANZA",
"first_name": "JACOB",
"middle_name": "JOSEPH",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-07",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006579A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.