Active NPI
Mary Lauren Lewis Janusz, OTR/L
- Occupational Therapist
- Wilmington, DE
National Provider Identifier
1821315110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- U1-0001108
- Practice address
- 800 Carr Road
Wilmington, DE 19809 - Phone
- (302) 740-4798
- Fax
- (302) 761-6951
- NPI assigned
- Apr 26, 2010
- 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 | U1-0001108 | DE | Primary |
| Pediatric Occupational Therapist | 225XP0200X | U1-0001108 | DE |
Addresses
Primary practice location
800 Carr Road
Wilmington, DE 19809
Mailing address
800 Carr Road
Wilmington, DE 19809
Phone (302) 740-4798
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 |
|---|---|---|---|
| U1-0001108 | DE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1821315110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CARR ROAD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19809",
"telephone_number": "302-740-4798",
"fax_number": "302-761-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CARR ROAD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19809",
"telephone_number": "302-740-4798",
"fax_number": "302-761-6951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANUSZ",
"first_name": "MARY LAUREN",
"middle_name": "LEWIS",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0001108",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "DE",
"license": "U1-0001108",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.