Amy Lack, MOT
NPI 1053814137ActiveIndividual· Occupational Therapist· La Mesa, CA
Occupational Therapist (MOT) in La Mesa, California, licensed in CA, with an NPI issued in March 2018. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1053814137 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MOT |
| Sole proprietor | No |
| NPI issued | Mar 14, 2018 |
| Last updated in NPPES | Sep 14, 2026 |
| Certified by provider | Sep 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 27358 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CA) |
|---|
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