Individual provider Active NPI

Briana Dilling Lackenby, DPT

  • Physical Therapist
  • Marstons Mills, MA
National Provider Identifier
1528049137
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15894 Issued in MA
Practice address
135 Devon LN
Marstons Mills, MA 02648-1893
Phone
(508) 776-9002
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15894 MA Primary

Addresses

Primary practice location

135 Devon LN
Marstons Mills, MA 02648-1893

Mailing address

135 Devon LN
Marstons Mills, MA 02648-1893
Phone (508) 776-9002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000681 MA Practitioner - Physical Therapist in Private Practice 3779592175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.92 of 100Reported as individual
Quality
49.84
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15894MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Physical Therapy Physical Therapist CurrentSince Dec 26, 2001 Accepting new patients

Locations

168 Industrial Dr
Ste 5
Mashpee, MA 02649
Phone (508) 477-4800

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1528049137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 DEVON LN",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481893",
            "telephone_number": "508-776-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 DEVON LN",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481893",
            "telephone_number": "508-776-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKENBY",
        "first_name": "BRIANA",
        "middle_name": "DILLING",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marstons Mills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.