Active NPI
Lynn T. Lackoff, OT
- Occupational Therapist
- Rockland, ME
National Provider Identifier
1336356351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- ME342411
- Practice address
- 116 Tillson Avenue
Knox County CDS
Rockland, ME 04841 - Phone
- (207) 594-5933
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | ME342411 | ME | Primary |
Addresses
Primary practice location
116 Tillson Avenue
Knox County CDS
Rockland, ME 04841
Mailing address
418 Washington Rd
Waldoboro, ME 04572-5733
Phone (207) 594-5933
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 |
|---|---|---|---|
| ME342411 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knox County CDS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Rockland, ME
- NPI 1114112968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336356351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 WASHINGTON RD",
"city": "WALDOBORO",
"state": "ME",
"postal_code": "045725733",
"telephone_number": "207-594-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 TILLSON AVENUE",
"address_2": "KNOX COUNTY CDS",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "04841",
"telephone_number": "207-594-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKOFF",
"first_name": "LYNN",
"middle_name": "T.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "ME342411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockland, ME
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.