Active NPI
Theresa Louise Lane, OTR/L
- Occupational Therapist
- Binghamton, NY
National Provider Identifier
1750344776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008321-1
- Practice address
- 10-42 Mitchell Ave
Binghamton, NY 13903-1617 - Phone
- (607) 762-2100
- NPI assigned
- Apr 10, 2006
- Last updated
- Aug 31, 2011
- 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 | 008321-1 | NY | Primary |
Addresses
Primary practice location
10-42 Mitchell Ave
Binghamton, NY 13903-1617
Mailing address
355 Springer Rd
Binghamton, NY 13904-3409
Phone (607) 775-2691
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008321-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1750344776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 SPRINGER RD",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139043409",
"telephone_number": "607-775-2691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10-42 MITCHELL AVE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139031617",
"telephone_number": "607-762-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "THERESA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "008321-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.