Individual provider Active NPI

Jared Tyler Lamm, OTR/L

  • Occupational Therapist
  • Plainview, NY
National Provider Identifier
1659987162
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024958-01 Issued in NY
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

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
024958-01NYMDOccupational 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.

Verify at the official NPI Registry.