Individual provider Active NPI

Lynn Lak, PTA

  • Physical Therapy Assistant
  • Lenox, MA
National Provider Identifier
1649680349
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8588 Issued in MA
Practice address
40 Sunset Ave
Lenox, MA 01240-2018
Phone
(413) 637-5011
NPI assigned
May 2, 2014
Last updated
May 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8588 MA Primary

Addresses

Primary practice location

40 Sunset Ave
Lenox, MA 01240-2018

Mailing address

574 Dingle Rd
Worthington, MA 01098-9603
Phone (413) 238-4274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8588MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Extended Care Services Inc Past Accepting new patients
Genesis Healthcare Past Accepting new patients

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, 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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1649680349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 DINGLE RD",
            "city": "WORTHINGTON",
            "state": "MA",
            "postal_code": "010989603",
            "telephone_number": "413-238-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SUNSET AVE",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402018",
            "telephone_number": "413-637-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAK",
        "first_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "8588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.