Active NPI
Lynne Fastoso Fleming, OTR/L
- Pediatric Occupational Therapist
- Concord, NH
National Provider Identifier
1821022534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0627
- Practice address
- 124 Hall St Ste H
Concord, NH 03301-3442 - Phone
- (603) 228-9160
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0627 | NH | Primary |
Addresses
Primary practice location
124 Hall St Ste H
Concord, NH 03301-3442
Mailing address
124 Hall St Ste H
Concord, NH 03301-3442
Phone (603) 228-9160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3074301 | Medicaid | NH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Kids Therapies | Multi-Specialty | Current | Accepting new patients |
Locations
124 Hall St
Ste H
Concord, NH 03301
Phone (603) 224-4540
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": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1821022534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HALL ST STE H",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013442",
"telephone_number": "603-228-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HALL ST STE H",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013442",
"telephone_number": "603-228-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "LYNNE",
"middle_name": "FASTOSO",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "NH",
"license": "0627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3074301",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.