Lucy Jacob, OTR/L, CHT, HTC

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT 837 HTC & PAM Issued in CA

Practice address

117 Sand Castle CT
Grover Beach, CA 93433-1133

Phone

(805) 489-2673

NPI assigned

Jan 4, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Hand & Occupational Therapy Inc

  • Occupational Therapist
  • Santa Maria, CA
  • NPI 1366157877
  NPD (past)
• Fresno Specialized Spine & Physical Therapy, Inc.

  dba Specialized Physical Therapy

  • Physical Therapist
  • Fresno, CA
  • NPI 1790867430
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1801874508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SAND CASTLE CT",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934331133",
            "telephone_number": "805-489-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SAND CASTLE CT",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934331133",
            "telephone_number": "805-489-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "LUCY",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT, HTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT 837 HTC & PAM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla S Hurt, PA-C
• Sonia Iliff
• Michael Illiff
• Inter-Community Hospice, Inc.
• J Michael Davis DC a Professional Chiropractic Corp
• Stephanie Jennings
• Valeree Jensen, PHARMD
• Camila Paz Jeria Saez, RPE LICENSE SLP
• Jerry Ack Yu Yu Dental Corporation
• John R Prewett, OD Inc

• Specialist in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.