Individual provider Active NPI

Lynn Pumerantz Jaworski

  • Occupational Therapist
  • Danvers, MA
National Provider Identifier
1639305436
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1931 Issued in MA
Practice address
85 Constitution LN
Danvers, MA 01923-3694
Phone
(978) 750-8188
Fax
(978) 750-8186
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 1931 MA Primary

Addresses

Primary practice location

85 Constitution LN
Danvers, MA 01923-3694

Mailing address

5A Hutchinson Dr
Danvers, MA 01923-3777
Phone (978) 750-8188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090707000023 MA Practitioner - Occupational Therapist in Private Practice 0042361925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of New England, College of Osteo Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmeling Physical Therapy and Sports Fitness IncGroup PAC ID 8123917929, 17 clinicians

Practice addresses (Care Compare)

5 A Hutchinson Dr
Danvers, MA 01923-3777
Phone (978) 750-8188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1931MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harmeling Physical Therapy & Sports Fitness, Inc. CurrentSince Jun 8, 2009 Accepting new patients

Locations

5A Hutchinson Dr
Danvers, MA 01923
Phone (978) 750-8188

85 Constitution Ln
Danvers, MA 01923
Phone (978) 750-8188

255 Grapevine Rd
Wenham, MA 01984
Phone (978) 524-0000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1639305436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A HUTCHINSON DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233777",
            "telephone_number": "978-750-8188",
            "fax_number": "978-750-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CONSTITUTION LN",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233694",
            "telephone_number": "978-750-8188",
            "fax_number": "978-750-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMERANTZ JAWORSKI",
        "first_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "1931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.