Individual provider Active NPI

Karen Lane Anderson

  • Physical Therapist
  • Bedford, MA
National Provider Identifier
1114196672
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17414 Issued in MA
Practice address
191 Hartwell Rd
Bedford, MA 01730
Phone
(781) 275-4111
Fax
(781) 275-0884
NPI assigned
Feb 28, 2008
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17414 MA Primary

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 1

  • Karen Anne Lane Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827001307 MN Practitioner - Physical Therapist in Private Practice 2860570850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17414MAMDPhysical Therapist
12305MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Park Nicollet Clinic CurrentSince Aug 23, 2021 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2025 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2025 Accepting new patients
Achieve Physical Therapy, PC Physical Therapist PastSince Oct 24, 2018 Accepting new patients

Locations

290 Main St NW
Ste 100
Elk River, MN 55330
Phone (763) 241-0373

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

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1114196672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASS AVE STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HARTWELL RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "01730",
            "telephone_number": "781-275-4111",
            "fax_number": "781-275-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Littleton Rd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Westford",
            "state": "MA",
            "postal_code": "018863593",
            "country_code": "US",
            "telephone_number": "781-487-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Littleton Rd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Westford",
            "state": "MA",
            "postal_code": "018863593",
            "country_code": "US",
            "telephone_number": "781-487-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Mass Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017203739",
            "country_code": "US",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KAREN",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LANE",
            "middle_name": "ANNE",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.