Individual provider Active NPI

Sharon Lane, OTR/L

  • Occupational Therapist
  • Des Moines, IA
National Provider Identifier
1568923910
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
094802 Issued in IA
Practice address
600 E Court Ave Ste 120
Des Moines, IA 50309-2068
Phone
(515) 277-0134
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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 094802 IA Primary

Addresses

Primary practice location

600 E Court Ave Ste 120
Des Moines, IA 50309-2068

Mailing address

600 E Court Ave Ste 120
Des Moines, IA 50309-2068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190529000100 IA Practitioner - Occupational Therapist in Private Practice 3375886740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimae Rehabilitation Services LLCGroup PAC ID 9638560691, 3 clinicians

Practice addresses (Care Compare)

600 E Court Ave
Suite 120
Des Moines, IA 50309-2068
Phone (515) 381-9278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094802IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimae Rehabilitation Services LLC CurrentSince Apr 5, 2024 Accepting new patients
Nurse in the House, Inc. Past Accepting new patients

Locations

600 E Court Ave
Ste 120
Des Moines, IA 50309
Phone (515) 238-6051

301 W Burlington Ave
Fairfield, IA 52556
Phone (641) 472-1684

Organizations & group practices 2

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1568923910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E COURT AVE STE 120",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E COURT AVE STE 120",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092068",
            "telephone_number": "515-277-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "SHARON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "094802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.