Active NPI
Rachel Valerie Lane, OT
- Occupational Therapist
- Kingsland, GA
National Provider Identifier
1366749897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT001728
- Practice address
- 100 Lindsey LN
Suite B
Kingsland, GA 31548-6850 - Phone
- (912) 510-6104
- Fax
- (912) 882-6137
- NPI assigned
- Feb 18, 2011
- 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 | OT001728 | GA | Primary |
Addresses
Primary practice location
100 Lindsey LN
Suite B
Kingsland, GA 31548-6850
Mailing address
PO Box 5610
Saint Marys, GA 31558-5610
Phone (912) 510-6104
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 |
|---|---|---|---|
| OT001728 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance for Kids Inc | Occupational Therapist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1366749897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5610",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315585610",
"telephone_number": "912-510-6104",
"fax_number": "912-882-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LINDSEY LN",
"address_2": "SUITE B",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486850",
"telephone_number": "912-510-6104",
"fax_number": "912-882-6137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "RACHEL",
"middle_name": "VALERIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT001728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.