Active NPI
Janis Laursen Davis, OTR/L PHD
- Occupational Therapist
- San Juan Capistrano, CA
National Provider Identifier
1811400773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10768
- Practice address
- 27136 Paseo Espada
San Juan Capistrano, CA 92675-2728 - Phone
- (949) 429-3220
- NPI assigned
- Nov 14, 2017
- 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 | 10768 | CA | Primary |
Addresses
Primary practice location
27136 Paseo Espada
San Juan Capistrano, CA 92675-2728
Mailing address
1570 Via Capri Apt 5
Laguna Beach, CA 92651-1362
Phone (913) 449-7757
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10768 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1811400773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 VIA CAPRI APT 5",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511362",
"telephone_number": "913-449-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27136 PASEO ESPADA",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752728",
"telephone_number": "949-429-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JANIS",
"middle_name": "LAURSEN",
"name_prefix": "Prof.",
"credential": "OTR/L PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-14",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "10768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.