Individual provider Active NPI

Trudy Lynch

  • Occupational Therapist
  • Peabody, MA
National Provider Identifier
1427770668
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14563 Issued in MA
Practice address
2 1St Ave Ste 211
Peabody, MA 01960-4962
Phone
(978) 535-1213
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 14563 MA Primary

Addresses

Primary practice location

2 1St Ave Ste 211
Peabody, MA 01960-4962

Mailing address

152 Conant St Ste 301
Beverly, MA 01915-2796
Phone (789) 927-3040

Other practice location 1

152 Conant St
Beverly, MA 01915-1600
Phone (978) 927-3044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026000823 MA Practitioner - Occupational Therapist in Private Practice 9638545064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine North Orthopaedic Surgery, Inc.Group PAC ID 0547259095, 87 clinicians
Coastal Orthopedic Associates IncGroup PAC ID 8325101637, 21 clinicians

Practice addresses (Care Compare)

1 Orthopedics Dr
Peabody, MA 01960-1668
Phone (978) 818-6350

152 Conant St
Suite 301
Beverly, MA 01915-1659
Phone (978) 927-3040

331 Gloucester Crossing Rd
Gloucester, MA 01930-2283
Phone (978) 879-4047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedic Associates Inc Occupational Therapist CurrentSince Feb 24, 2025 Accepting new patients
Coastal Orthopedic Associates Inc CurrentSince Feb 24, 2025 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc Occupational Therapist CurrentSince Sep 26, 2022 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc. Current Accepting new patients

Locations

152 Conant St
Ste 301
Beverly, MA 01915
Phone (978) 927-3040

152 Conant St
Beverly, MA 01915
Phone (978) 927-1919

99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040

2 1st Ave
Ste 211
Peabody, MA 01960
Phone (978) 535-1213

1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562

Organizations & group practices 4

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1427770668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CONANT ST STE 301",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152796",
            "telephone_number": "789-927-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1ST AVE STE 211",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604962",
            "telephone_number": "978-535-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Conant St",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019151600",
            "country_code": "US",
            "telephone_number": "978-927-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "TRUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.