Individual provider Active NPI

Mary Grace Lincoln, OTR/L

  • Occupational Therapist
  • Newtown Square, PA
National Provider Identifier
1366316119
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010060 Issued in PA
Practice address
3135 Dutton Dr
Newtown Square, PA 19073-4310
Phone
(484) 343-4412
NPI assigned
Oct 3, 2025
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC010060 PA Primary

Addresses

Primary practice location

3135 Dutton Dr
Newtown Square, PA 19073-4310

Mailing address

3135 Dutton Dr
Newtown Square, PA 19073-4310
Phone (484) 343-4412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021004750 PA Practitioner - Occupational Therapist in Private Practice 3971091026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heal at Home PT and Wellness LLCGroup PAC ID 3577942515, 10 clinicians

Practice addresses (Care Compare)

9237 Eagleview Dr
Lafayette Hill, PA 19444-1739
Phone (484) 988-0781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC010060PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heal at Home PT & Wellness CurrentSince Oct 1, 2025 Accepting new patients
Heal at Home PT & Wellness LLC CurrentSince Oct 1, 2025 Accepting new patients

Organizations & group practices 2

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": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1366316119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 DUTTON DR",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734310",
            "telephone_number": "484-343-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 DUTTON DR",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734310",
            "telephone_number": "484-343-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.