Individual provider Active NPI

Mari-Toni Carag Lane, OTR

  • Occupational Therapist
  • Southlake, TX
National Provider Identifier
1821457516
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105934 Issued in TX
Practice address
2236 Cotswold Valley CT
Southlake, TX 76092-2005
Phone
(972) 854-4573
Fax
(817) 633-8300
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 105934 TX Primary

Addresses

Primary practice location

2236 Cotswold Valley CT
Southlake, TX 76092-2005

Mailing address

2236 Cotswold Valley CT
Southlake, TX 76092-2005
Phone (972) 854-4573

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Home Health, LLC CurrentSince Apr 30, 2003 Accepting new patients
All-Ages Home Health Care, LLC Current Accepting new patients
Abundant Hospice Services, LLC CurrentSince Jul 1, 2019 Accepting new patients

Organizations & group practices 3

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1821457516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 COTSWOLD VALLEY CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760922005",
            "telephone_number": "972-854-4573",
            "fax_number": "817-633-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 COTSWOLD VALLEY CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760922005",
            "telephone_number": "972-854-4573",
            "fax_number": "817-633-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MARI-TONI",
        "middle_name": "CARAG",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "105934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.