Provider Demographics
NPI:1942533567
Name:FLETCHER-ORTMAN, JANE ERIKA (OTR/L)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ERIKA
Last Name:FLETCHER-ORTMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:ERIKA
Other - Last Name:FLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1729 MOUNTAIN ASH WAY
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4147
Mailing Address - Country:US
Mailing Address - Phone:440-487-1157
Mailing Address - Fax:
Practice Address - Street 1:1729 MOUNTAIN ASH WAY
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-4147
Practice Address - Country:US
Practice Address - Phone:440-487-1157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2268225XP0200X, 225XM0800X, 225XP0019X, 225X00000X
FL15309225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation