Active NPI
Jared Tyler Lamm, OTR/L
- Occupational Therapist
- Plainview, NY
National Provider Identifier
1659987162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024958-01
- Practice address
- 245 Newtown Rd Ste 102
Plainview, NY 11803-4317 - Phone
- (516) 802-2518
- NPI assigned
- Sep 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 024958-01 | NY | Primary |
Addresses
Primary practice location
245 Newtown Rd Ste 102
Plainview, NY 11803-4317
Mailing address
271 Division Ave
Massapequa, NY 11758-7114
Phone (516) 279-8369
Other practice location 1
299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Phone (631) 473-4284
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 |
|---|---|---|---|
| 024958-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1659987162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 DIVISION AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117587114",
"telephone_number": "516-279-8369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 NEWTOWN RD STE 102",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034317",
"telephone_number": "516-802-2518"
}
],
"practiceLocations": [
{
"address_1": "299 Hallock Ave",
"address_purpose": "LOCATION",
"city": "Port Jefferson Station",
"state": "NY",
"postal_code": "117761217",
"country_code": "US",
"telephone_number": "631-473-4284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMM",
"first_name": "JARED",
"middle_name": "TYLER",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-20",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024958-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.