Individual provider Active NPI

Julianne Lessard, OT

  • Occupational Therapist
  • Springfield, MA
National Provider Identifier
1548358377
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6490 Issued in MA
Practice address
300 Birnie Ave
Suite 304
Springfield, MA 01107-1107
Phone
(413) 526-9961
Fax
(416) 526-9960
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 6490 MA Primary

Addresses

Primary practice location

300 Birnie Ave
Suite 304
Springfield, MA 01107-1107

Mailing address

80 Denslow Rd
East Longmeadow, MA 01028-3103
Phone (413) 526-9969

Other identifiers 25

IdentifierTypeStateIssuer
000000035265OtherMABOSTON MEDICAL HEALTH NET GROUP NO
043527497OtherMAUNITED HEALTH CARE
043527497OtherMACIGNA GROUP NO
28117OtherMAHEALTH NEW ENGLAND
043527497OtherMAGREATWEST
043527497OtherMANORTH REGION/TRICARE
690675OtherMATUFTS GROUP
11535151OtherMACAQH
043527OtherMACONNECTICARE
103355100OtherMADEPT OF LABOR
9715568MedicaidMA
0799131MedicaidMA
130006490MA01OtherMAANTHEM BC BS
972730OtherMANETWORK HEALTH
P0242238OtherMAPALMETTO RR MEDICARE
000000035319OtherMABOSTON MEDICAL HEALTH NET INDIV. NO.
043527497OtherMACONSOLIDATED
130006490MA02OtherANTHEM BC BS
OT0157OtherMABC BS INDIV NO.
Y61264OtherMABC BS GROUP NO
043527497OtherMAUNICARE/GIC
046527497OtherMAAETNA GROUP
3073494OtherMACIGNA INDIVIDUAL NO.
494474OtherMATUFTS INDIVIDUAL NO
7109767OtherMAAWETNA INDIV NO.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000316 MA Practitioner - Occupational Therapist in Private Practice 3274561550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Birnie Ave
Suite 201
Springfield, MA 01107-1121
Phone (714) 785-4666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6490MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Occupational Therapist CurrentSince Jul 1, 2005 Accepting new patients
New England Orthopedic Surgeons CurrentSince Mar 1, 2022 Accepting new patients
New England Orthopedic Surgeons CurrentSince Mar 1, 2022 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Occupational Therapist CurrentSince Jul 1, 2005 Accepting new patients
Performance Rehabilitation of Western New England LLC Occupational Therapist Past Accepting new patients
Performance Rehabilitation of Western New England LLC Occupational Therapist Past Accepting new patients

Locations

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

265 Benton Dr
Ste 101
East Longmeadow, MA 01028
Phone (714) 785-4666

300 Birnie Ave
Springfield, MA 01107
Phone (413) 736-5649

300 Birnie Ave
Ste 304
Springfield, MA 01107
Phone (413) 781-1054

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

1111 Elm St
Ste 33
West Springfield, MA 01089
Phone (413) 781-1054

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

Organizations & group practices 8

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1548358377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 DENSLOW RD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283103",
            "telephone_number": "413-526-9969",
            "fax_number": "413-526-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE",
            "address_2": "SUITE 304",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071107",
            "telephone_number": "413-526-9961",
            "fax_number": "416-526-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSARD",
        "first_name": "JULIANNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "6490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL HEALTH NET GROUP NO",
            "identifier": "000000035265",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP NO",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "28117",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATWEST",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH REGION/TRICARE",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP",
            "identifier": "690675",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11535151",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "043527",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "103355100",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9715568",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0799131",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "130006490MA01",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "972730",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P0242238",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL HEALTH NET INDIV. NO.",
            "identifier": "000000035319",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "130006490MA02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS INDIV NO.",
            "identifier": "OT0157",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP NO",
            "identifier": "Y61264",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE/GIC",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "046527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INDIVIDUAL NO.",
            "identifier": "3073494",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS INDIVIDUAL NO",
            "identifier": "494474",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWETNA INDIV NO.",
            "identifier": "7109767",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.