NPIMap

Organization Active NPI

Lynne J. Ganz, Otr/L, Inc.

  • Pediatric Occupational Therapist
  • Reston, VA
National Provider Identifier
1992052096
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0119000014 Issued in VA
Legal business name
LYNNE J. GANZ, OTR/L, INC.
Practice address
11708 Bowman Green Dr
Reston, VA 20190-3501
Phone
(703) 796-9887
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Ms. Lynne J Ganz, OTRNPI 1649527748
Title
Director/Owner
Phone
(703) 796-9887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 0119000014 VA Primary

Addresses

Primary practice location

11708 Bowman Green Dr
Reston, VA 20190-3501

Mailing address

11708 Bowman Green Dr
Reston, VA 20190-3501
Phone (703) 796-9887

National Provider Directory

National Provider Directory

Locations

11708 Bowman Green Dr
Reston, VA 20190
Phone (703) 796-9887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1992052096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 BOWMAN GREEN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903501",
            "telephone_number": "703-796-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11708 BOWMAN GREEN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903501",
            "telephone_number": "703-796-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE J. GANZ, OTR/L, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "703-796-9887",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.