Lynn M Jansky, O.T.R.

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

242685 Issued in OR

Practice address

1401 Bryant Williams Dr
Klamath Falls, OR 97601-7151

Phone

(541) 882-6691

Fax

(541) 885-4515

NPI assigned

Apr 11, 2007

Last updated

Dec 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1730303033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 WALLENS RIDGE BLVD W",
            "address_2": "APT. 2",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192759",
            "telephone_number": "541-880-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BRYANT WILLIAMS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017151",
            "telephone_number": "541-882-6691",
            "fax_number": "541-885-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSKY",
        "first_name": "LYNN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "OR",
            "license": "242685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278773",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Occupational Therapist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Gerontology Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.