Active NPI
Ruth Lincoln, OT
- Occupational Therapist
- Farmington Hills, MI
National Provider Identifier
1457642415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1749
- Practice address
- 27240 Haggerty Rd
Suite E-15
Farmington Hills, MI 48331-5716 - Phone
- (248) 488-0350
- NPI assigned
- Apr 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 1749 | MA | Primary |
Addresses
Primary practice location
27240 Haggerty Rd
Suite E-15
Farmington Hills, MI 48331-5716
Mailing address
112 Court St
Mansfield, MA 02048-2351
Phone (508) 339-8389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1749 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Ma LLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehab of Ri PC | Occupational Therapist | Current | Accepting new patients |
Locations
303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577
7 Carnegie Plz
Cherry Hill, NJ 08003
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1457642415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 COURT ST",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482351",
"telephone_number": "508-339-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27240 HAGGERTY RD",
"address_2": "SUITE E-15",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483315716",
"telephone_number": "248-488-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCOLN",
"first_name": "RUTH",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-26",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "1749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.