Active NPIIndividual provider

Jessica Lague, OTR/L

Occupational Therapist in Aptos, California

NPI Number1164764098
Practice location
1940 Bonita Dr, Aptos, CA 95003-5524
Fax
—
Last updated
December 29, 2023

Jessica Lague is an Occupational Therapist based in Aptos, CA. Jessica Lague practices in Aptos, CA and has the professional credentials of OTR/L. The NPI Number for Jessica Lague is 1164764098 and holds a License No. OT 8304 (CA). The current practice location address for Jessica Lague is 1940 Bonita Dr, Aptos, CA 95003-5524 and can be reached out via phone at 831-684-1804.

Provider Profile Details

NPI Number
1164764098
Provider Name
Jessica Lague
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
1940 Bonita Dr, Aptos, CA 95003-5524
Phone Number
831-684-1804
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 18, 2013
Last Update Date
December 29, 2023
Certification Date
December 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1940 Bonita Dr
Aptos, CA 95003-5524
City
Aptos
Zip
95003-5524
Phone Number
831-684-1804
Aptos, CA 95003Get directions →

Provider Business Mailing Address Details

Address
Po Box 1005
Waitsfield, VT 05673-1005
City
Waitsfield
State
VT
Zip
05673-1005
Phone Number
802-730-7737

License Information

License Number (1)
OT 8304
License State (1)
CA
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
072.0074914
License State (2)
VT
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Lague, OTR/L?

The NPI number of Jessica Lague, OTR/L is 1164764098. It was assigned on March 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Jessica Lague, OTR/L?

Jessica Lague, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CA under license number OT 8304.

Where does Jessica Lague, OTR/L practice?

The practice location is 1940 Bonita Dr, Aptos, CA 95003-5524. The office can be reached at 831-684-1804 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164764098 directly on the NPPES registry website.

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