Active NPI
Jasmine Ward-Dyer, OTR/L
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1750893749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19314
- Practice address
- 1100 S Hill St Apt 619
Los Angeles, CA 90015-4678 - Phone
- (424) 326-3616
- Fax
- (132) 379-7506
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 60799680 | WA | |
| Occupational Therapist | 225X00000X | 19314 | CA | Primary |
Addresses
Primary practice location
1100 S Hill St Apt 619
Los Angeles, CA 90015-4678
Mailing address
1100 S Hill St Apt 619
Los Angeles, CA 90015-4678
Phone (424) 326-3616
Other practice location 1
5830 S 300th St
Auburn, WA 98001-2311
Phone (253) 945-3223
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19314 | CA | MD | Clinical Social Worker |
| 60799680 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1750893749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S HILL ST APT 619",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900154678",
"telephone_number": "424-326-3616",
"fax_number": "323-797-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S HILL ST APT 619",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900154678",
"telephone_number": "424-326-3616",
"fax_number": "132-379-7506"
}
],
"practiceLocations": [
{
"address_1": "5830 S 300th St",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980012311",
"country_code": "US",
"telephone_number": "253-945-3223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARD-DYER",
"first_name": "JASMINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60799680",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "19314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.