Active NPI
Sharon Lane, OTR/L
- Occupational Therapist
- Des Moines, IA
National Provider Identifier
1568923910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 094802
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 094802 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimae Rehabilitation Services LLC | Current | 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Des Moines, IA
- NPI 1457912289
-
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
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.