Active NPI
Jaquante M Lance, OTR
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1831745082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023682
- Practice address
- 3391 Richmond Ave
Staten Island, NY 10312-2025 - Phone
- (910) 489-4473
- NPI assigned
- Aug 14, 2019
- 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 | 023682 | NY | Primary |
Addresses
Primary practice location
3391 Richmond Ave
Staten Island, NY 10312-2025
Mailing address
740 Empire Blvd Apt 2S
Brooklyn, NY 11213-5364
Phone (910) 489-4473
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | j.lance@tppnyc.com | Direct |
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 |
|---|---|---|---|
| 023682 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Civil Physical Therapy, PLLC | Current | Accepting new patients | |
| Esd PT OT & SLP PLLC | Occupational Therapist | Current | Accepting new patients |
| New York Physical and Occupational Therapy Services, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
5881 Glenridge Dr
Ste 220
Sandy Springs, GA 30328
Phone (404) 481-3732
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
Organizations & group practices 3
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.
-
- Orthopedic Physical Therapist
- Brooklyn, NY
- NPI 1336786417
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1831745082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 EMPIRE BLVD APT 2S",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112135364",
"telephone_number": "910-489-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3391 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122025",
"telephone_number": "910-489-4473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCE",
"first_name": "JAQUANTE",
"middle_name": "M",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023682",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "j.lance@tppnyc.com",
"affiliation": "N",
"endpointDescription": "The Perfect Playground",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3391 Richmond Ave",
"city": "Staten Island",
"state": "NY",
"country_code": "US",
"postal_code": "103122025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.