Individual provider Active NPI

Shirley Lynch Scarlett, OTR/L

  • Occupational Therapist
  • Concord, MA
National Provider Identifier
1972957744
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11047 Issued in MA
Practice address
96 Commonwealth Ave
Concord, MA 01742-2904
Phone
(978) 505-9401
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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 11047 MA Primary

Addresses

Primary practice location

96 Commonwealth Ave
Concord, MA 01742-2904

Mailing address

96 Commonwealth Ave
Concord, MA 01742-2904
Phone (978) 505-9401

Other practice location 1

186 Alewife Brook Pkwy Ste 302
Cambridge, MA 02138-1134
Phone (978) 505-9401

Other names 1

  • Shirley Lynch Professional name

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

LicenseStateTypeSpecialty
11047MAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1972957744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 COMMONWEALTH AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422904",
            "telephone_number": "978-505-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 COMMONWEALTH AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422904",
            "telephone_number": "978-505-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Alewife Brook Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021381134",
            "country_code": "US",
            "telephone_number": "978-505-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH SCARLETT",
        "first_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "11047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "LYNCH",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.