JANA R MORTELLARO MS, OTR-L, CHT
NPI 1083779086
Occupational Therapist in South Lake Tahoe, CA

Active since December 27, 2006Accepts Medicare Assignment
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-5896(530) 544-6512 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Oct 27, 2017 (2 updates tracked since 2017).

About Jana R Mortellaro Ms, Otr-l, Cht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANA R MORTELLARO MS, OTR-L, CHT (NPI 1083779086) is an individual occupational therapist in South Lake Tahoe, California, licensed in California (289) and active in the NPI registry since December 2006. She maintains 3 additional practice locations and is a graduate of Other (1997).

NPPES Registry Identity

NPI1083779086
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJANA R MORTELLAROCredential: MS, OTR-L, CHT
Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150-7026
Mailing AddressPo Box 9578South Lake Tahoe, CA 96158-9578 · (530) 543-5896 · Fax (530) 544-6512
Fax(530) 544-6512
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 27, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1083779086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in CA · 289 Licensed in NV · 0401
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
2170 SOUTH AVE, South Lake Tahoe, CA 96150

Secondary Practice Locations 3

Location 1935 Mica Dr, Ste 13Carson City, NV 89705-7268 · Phone (775) 783-3065 · Fax (775) 267-1829
Location 2155 Highway 50 Fl 2Stateline, NV 89449-9816 · Phone (775) 589-8953 · Fax (775) 589-8920
Location 31139 3rd StSouth Lake Tahoe, CA 96150-3465 · Phone (530) 543-5706 · Fax (530) 541-4130

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jana R Mortellaro Ms, Otr-l, Cht is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032248943
PECOS Enrollment IDI20101022001294

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Nurse Practitioner (Family)
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Pathology (Cytopathology)
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Anesthesiology
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Orthopaedic Surgery
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Internal Medicine
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jana Mortellaro's NPI number?

The NPI number for Jana Mortellaro is 1083779086. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Jana Mortellaro located?

Jana Mortellaro practices at 2170 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5896.

What is Jana Mortellaro's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jana Mortellaro enrolled in Medicare?

Yes. Jana Mortellaro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jana Mortellaro was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.