Karen Lane Anderson
Individual provider Active NPI Physical Therapist · Bedford, MA
NPI 1114196672 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1114196672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 17414 (MA)
- Practice address
- 191 Hartwell Rd
Bedford, MA 01730 - Phone
- (781) 275-4111
- Fax
- (781) 275-0884
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Specialty Services
Fairview Express Care
Practice addresses (Care Compare)
290 Main St NW
Suite 100
Elk River, MN 55330-1251
Phone (763) 241-5800
3400 W 66TH St
Suite 290
Edina, MN 55435-2133
Phone (952) 914-1965
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210827001307 | MN | Practitioner - Physical Therapist in Private Practice | 2860570850 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12305 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Park Nicollet Clinic | Current |
Accepting new patients | |
| Achieve Physical Therapy, PC | Physical Therapist | Past |
Accepting new patients |
Locations
290 Main St NW
Ste 100
Elk River, MN 55330
Phone (763) 241-0373
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17414 | MA | Yes |
Addresses
Primary practice location
191 Hartwell Rd
Bedford, MA 01730
Mailing address
411 Mass Ave Ste 302
Acton, MA 01720-3739
Phone (978) 263-0007
Other practice location 1
235 Littleton Rd
Suite 2
Westford, MA 01886-3593
Phone (781) 487-9944
Other practice location 2
235 Littleton Rd
Suite 2
Westford, MA 01886-3593
Phone (781) 487-9944
Other practice location 3
411 Mass Ave Ste 302
Acton, MA 01720-3739
Phone (978) 263-0007
Other names
- Karen Anne Lane
Other providers in Bedford, MA
- Husna Altug
- Raghavan Amarasingham
- Victoria E Ameral
- Richard R Amodio
- Eamon Anderson
- Kimberly Anderson
- Carrie Andreson
- Kathleen M Ankers
- Emily Arciaga
- Karla Jo Armenoff
All providers in Bedford, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.