Marlis J Lane, OTR CDRS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

AA635391 Issued in CO

Practice address

1045 Robertson St
Fort Collins, CO 80524-3926

Phone

(970) 493-6667

Fax

(970) 493-8016

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1548222342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 W VINE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211621",
            "telephone_number": "970-482-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ROBERTSON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243926",
            "telephone_number": "970-493-6667",
            "fax_number": "970-493-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MARLIS",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "OTR  CDRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "AA635391",
            "primary": true
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "CO",
            "license": "AA635391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynne Landon, LCSW, CAC II
• Claire Landrieu
• Henry Ray Landsgaard
• Anna Lane, LPC
• Annie Jean Lane
• Mary Katherine Grace Lane
• Tawnya R Lane, P.A.
• Christina Lang, M.D.
• Madeline Lang
• Alani Lange

• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.