Active NPI
Delene R Lynes, OTA
- Occupational Therapy Assistant
- Great Falls, MT
National Provider Identifier
1013118710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 419
- Practice address
- 1101 26TH St S
Great Falls, MT 59405-5161 - Phone
- (406) 455-5412
- NPI assigned
- May 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 419 | MT | Primary |
Addresses
Primary practice location
1101 26TH St S
Great Falls, MT 59405-5161
Mailing address
1800 11TH St SW
Great Falls, MT 59404-3406
Phone (406) 455-5412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 419 | MT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013118710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 11TH ST SW",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594043406",
"telephone_number": "406-455-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 26TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055161",
"telephone_number": "406-455-5412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNES",
"first_name": "DELENE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MT",
"license": "419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.