Active NPI
Karen Lane Anderson
- Physical Therapist
- Bedford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17414
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17414 | MA | MD | Physical Therapist |
| 12305 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Fairview Express Care | 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
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.
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1588543862
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
dba M Health Fairview Sleep Center - Minneapolis
- Sleep Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1598203432
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- Physical Therapist
- Syracuse, NY
- NPI 1790778983
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.