Individual provider Active NPI

Lindsay Patricia Vertullo, OTR/L

  • Occupational Therapist
  • Wakefield, MA
National Provider Identifier
1548499189
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8936 Issued in MA
Practice address
3 Jessica LN
Wakefield, MA 01880-1252
Phone
(617) 851-5315
Fax
(781) 262-3337
NPI assigned
Jul 3, 2009
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 8936 MA Primary

Addresses

Primary practice location

3 Jessica LN
Wakefield, MA 01880-1252

Mailing address

3 Jessica LN
Wakefield, MA 01880-1252
Phone (617) 851-5315

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918001289 MA Practitioner - Occupational Therapist in Private Practice 9537428461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hae/PT, LLCGroup PAC ID 6800214883, 20 clinicians

Practice addresses (Care Compare)

Wakefield, MA 01880
Phone (617) 851-5315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8936MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hae/PT, LLC CurrentSince Sep 10, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1548499189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JESSICA LN",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801252",
            "telephone_number": "617-851-5315",
            "fax_number": "781-258-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JESSICA LN",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801252",
            "telephone_number": "617-851-5315",
            "fax_number": "781-262-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTULLO",
        "first_name": "LINDSAY",
        "middle_name": "PATRICIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "8936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.