Lyne Marie Wance, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP006157 Issued in PA

Practice address

530 Macoby St
Pennsburg, PA 18073-1112

Phone

(215) 541-3500

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710101597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 WHITPAIN HLS",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221361",
            "telephone_number": "215-983-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MACOBY ST",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731112",
            "telephone_number": "215-541-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANCE",
        "first_name": "LYNE",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP006157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Perkiomen Valley Ambulance Association
• John M Urbanek, DDS
• Carol Elizabeth Valentino, R.N.
• Valley Medical Center of Pennsburg, LLC
• Vedashri LLC (Professional Pharmacy of Pennsburg)
• Stephanie Wanner
• Kristen Agnes Wassel, P.A.-C.
• Lindsey Nicole Welch, O.D.
• Samantha Will, PT
• Rebecca Willis

• Occupational Therapy Assistant in Pennsburg, PA
• Providers in Pennsburg, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.