Active NPI
Deborah Lynne Vautrin, OT/L
- Low Vision Occupational Therapist
- Somerset, MA
National Provider Identifier
1497990899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- License
- 2467
- Practice address
- 173 Country Dr
Somerset, MA 02726-4035 - Phone
- (508) 673-4179
- NPI assigned
- Dec 13, 2008
- 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 |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | 2467 | MA | Primary |
Addresses
Primary practice location
173 Country Dr
Somerset, MA 02726-4035
Mailing address
173 Country Dr
Somerset, MA 02726-4035
Phone (508) 673-4179
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2467 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visions of Independence, LLC | 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.
-
- Occupational Therapist
- Sharon, MA
- NPI 1992751457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229126400000",
"number": "1497990899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 COUNTRY DR",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027264035",
"telephone_number": "508-673-4179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 COUNTRY DR",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027264035",
"telephone_number": "508-673-4179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUTRIN",
"first_name": "DEBORAH",
"middle_name": "LYNNE",
"credential": "OT/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-13",
"last_updated": "2008-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "MA",
"license": "2467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.