Heal the Brain With Jane

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

HEAL THE BRAIN WITH JANE

Practice address

47 Santa Rosa St
San Luis Obispo, CA 93405-1811

Phone

(949) 433-8457

NPI assigned

Mar 5, 2020

Organization subpart

No

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

Authorized official

Name

Jane Desmond Connely, OTR/L

Title

Founder/ Occupational Therapist

Phone

(949) 433-8457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1942835418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 POA PL",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934054768",
            "telephone_number": "949-433-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SANTA ROSA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051811",
            "telephone_number": "949-433-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL THE BRAIN WITH JANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "CONNELY",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "DESMOND",
        "authorized_official_title_or_position": "FOUNDER/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "949-433-8457",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.