Active NPI
Jaclyn Lee Lantz, COTA/L
- Occupational Therapist
- Bella Vista, AR
National Provider Identifier
1770085854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR3841
- Practice address
- 24 Kentallen LN
Bella Vista, AR 72715-2903 - Phone
- (479) 531-3797
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 | OTR3841 | AR | Primary |
Addresses
Primary practice location
24 Kentallen LN
Bella Vista, AR 72715-2903
Mailing address
24 Kentallen LN
Bella Vista, AR 72715-2903
Phone (479) 531-3797
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 |
|---|---|---|---|
| OTR3841 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1770085854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 KENTALLEN LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727152903",
"telephone_number": "479-531-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 KENTALLEN LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727152903",
"telephone_number": "479-531-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANTZ",
"first_name": "JACLYN",
"middle_name": "LEE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR3841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.