Individual provider Active NPI

Lauren Wordell, OTR/L

  • Occupational Therapist
  • Greenville, RI
National Provider Identifier
1831653930
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT01774 Issued in RI
Practice address
20 Austin Ave
Greenville, RI 02828-1449
Phone
(401) 949-3880
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 OT01774 RI Primary

Addresses

Primary practice location

20 Austin Ave
Greenville, RI 02828-1449

Mailing address

281 Long Hwy
Little Compton, RI 02837-1825
Phone (401) 924-4454

Other names 1

  • Lauren Tavares Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210401000937 RI Practitioner - Occupational Therapist in Private Practice 5597172817 Reassigns benefits to 1 organization
I20231129001710 MA Practitioner - Occupational Therapist in Private Practice 5597172817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy PCGroup PAC ID 6305176850, 37 clinicians

Practice addresses (Care Compare)

480 Metacom Ave
Bristol, RI 02809-5119
Phone 40125380007016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc CurrentSince Oct 17, 2023 Accepting new patients
Bay State Physical Therapy PC CurrentSince Feb 1, 2022 Accepting new patients

Locations

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

1250 US Highway 44
Raynham, MA 02767
Phone (508) 824-6800

480 Metacom Ave
Bristol, RI 02809
Phone (401) 253-8000

721 Reservoir Ave
Cranston, RI 02910
Phone (401) 946-4250

235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1831653930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 LONG HWY",
            "city": "LITTLE COMPTON",
            "state": "RI",
            "postal_code": "028371825",
            "telephone_number": "401-924-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AUSTIN AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281449",
            "telephone_number": "401-949-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDELL",
        "first_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "TAVARES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.