Brian Laubenthal, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

006544 Issued in OH

Practice address

1400 E 2ND St
Defiance, OH 43512-2440

Phone

(419) 783-3309

NPI assigned

Aug 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1649758178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "458480039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440",
            "telephone_number": "419-783-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBENTHAL",
        "first_name": "BRIAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "006544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Drug Co
• Shanda Lane, QMHS/CMS
• Victoria Lang, CDCA-PRE
• Danielle Elaine Lange, CNM
• Kayla Ann Lange, CNP
• Kali Nicole Leatherman
• Douglas Lee, CRNA
• Legends Recovery Center of Defiance
• Deborah Lehnert
• Jennifer Leitner

• Occupational Therapy Assistant in Defiance, OH
• Providers in Defiance, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.