Individual provider Active NPI

Jennifer Tison Lauer, OT

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1821162165
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2010003453 Issued in MO
Practice address
4444 Forest Park Ave
Saint Louis, MO 63108-2212
Phone
(314) 362-5079
Fax
(314) 286-1601
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2010003453 MO Primary

Addresses

Primary practice location

4444 Forest Park Ave
Saint Louis, MO 63108-2212

Mailing address

4444 Forest Park Ave
C B 8505
Saint Louis, MO 63108-2212
Phone (314) 362-5079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000281 MO Practitioner - Occupational Therapist in Private Practice 6800846213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Society for the BlindGroup PAC ID 9739478439, 4 clinicians

Practice addresses (Care Compare)

8770 Manchester Rd
Saint Louis, MO 63144-2724
Phone (314) 968-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Society for the Blind Current Accepting new patients
St Louis Society for the Blind CurrentSince Oct 1, 2020 Accepting new patients
The Ophthalmology Group LLP Past Accepting new patients
The Ophthalmology Group, LLC Past Accepting new patients
Occupational Performance and Rehab, PC Occupational Therapist PastSince Feb 4, 2013 Accepting new patients
Performance Chiropractic of Southern Illinois LLC Past Accepting new patients

Locations

8770 Manchester Rd
Saint Louis, MO 63144
Phone (314) 301-7399

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1821162165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 FOREST PARK AVE",
            "address_2": "C B 8505",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082212",
            "telephone_number": "314-362-5079",
            "fax_number": "314-286-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 FOREST PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082212",
            "telephone_number": "314-362-5079",
            "fax_number": "314-286-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUER",
        "first_name": "JENNIFER",
        "middle_name": "TISON",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2010003453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.