Active NPI
Emily Lane Carney
- Occupational Therapist
- Brockton, MA
National Provider Identifier
1962057232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13219
- Practice address
- 940 Belmont St
Brockton, MA 02301-5596 - Phone
- (508) 583-4500
- NPI assigned
- Aug 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 13219 | MA | |
| Occupational Therapist | 225X00000X | 13219 | MA | Primary |
Addresses
Primary practice location
940 Belmont St
Brockton, MA 02301-5596
Mailing address
17 Elmwood St Apt 1
Somerville, MA 02144-2400
Phone (978) 270-6860
Other practice location 1
1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Phone (617) 323-7700
Other practice location 2
1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000
Other names 1
- Emily Catherine Lane
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 |
|---|---|---|---|
| 13219 | MA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1962057232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ELMWOOD ST APT 1",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442400",
"telephone_number": "978-270-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 BELMONT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015596",
"telephone_number": "508-583-4500"
}
],
"practiceLocations": [
{
"address_1": "1400 Vfw Pkwy",
"address_purpose": "LOCATION",
"city": "West Roxbury",
"state": "MA",
"postal_code": "021324927",
"country_code": "US",
"telephone_number": "617-323-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1153 Centre St",
"address_purpose": "LOCATION",
"city": "Jamaica Plain",
"state": "MA",
"postal_code": "021303446",
"country_code": "US",
"telephone_number": "617-983-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARNEY",
"first_name": "EMILY",
"middle_name": "LANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "13219",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "LANE",
"middle_name": "CATHERINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.