Lynn Marie Borrelli

Individual provider Active NPI Occupational Therapist · Johnston, RI

NPI 1396698569 · NPPES record last updated Feb 18, 2026

Key facts

NPI
1396698569
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
02083 (RI)
Practice address
1526 Atwood Ave Ste 202
Johnston, RI 02919-3289
Phone
(401) 642-8080
NPI assigned
Feb 18, 2026
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1526 Atwood Ave
Johnston, RI 02919-3289

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260327001324 RI Practitioner - Occupational Therapist in Private Practice 4082199062 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
02083RIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Pediatric Evolution, LLC. Current
since Mar 12, 2026
Accepting new patients

Locations

1526 Atwood Ave
Ste 202
Johnston, RI 02919
Phone (401) 369-6366

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 02083 RI Yes

Addresses

Primary practice location

1526 Atwood Ave Ste 202
Johnston, RI 02919-3289

Mailing address

37 Beverly Cir
Greenville, RI 02828-2721
Phone (401) 742-3437

Other providers in Johnston, RI

All providers in Johnston, RI · Occupational Therapist in Rhode Island

Sources for this page

Verify at the official NPI Registry.