Carly Rebecca Lynch, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

577427 Issued in WI

Practice address

1049 N Edge TRL
Verona, WI 53593-1942

Phone

(608) 845-2100

Fax

(608) 845-2101

NPI assigned

May 7, 2021

Last updated

May 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1891379756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 N EDGE TRL",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931942",
            "telephone_number": "608-845-2100",
            "fax_number": "608-845-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 N EDGE TRL",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931942",
            "telephone_number": "608-845-2100",
            "fax_number": "608-845-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CARLY",
        "middle_name": "REBECCA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "577427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Marie Lovato, NP
• Meadow Loveless
• Kristen Elise Lowery
• Rebecca Anne Lucarelli, DPT
• Grant Luecke, DPT
• Lilian Marie Mannino
• Claire Kathryn Manske
• Heidi Jo Martell, MSCCCSLP
• Mariah Elizabeth Martinez
• Laura Marty

• Occupational Therapy Assistant in Verona, WI
• Providers in Verona, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.