Jennifer Ann Laisle, MOT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1376 Issued in OK

Practice address

4350 Will Rogers Pkwy Ste 600
Oklahoma City, OK 73108-1808

Phone

(405) 514-1627

NPI assigned

Jan 11, 2024

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Ann Black Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1982475687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 S LOBLOLLY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730121301",
            "telephone_number": "405-514-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WILL ROGERS PKWY STE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081808",
            "telephone_number": "405-514-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAISLE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MOT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BLACK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.