Active NPI
James Lane, OT/R
- Occupational Therapist
- Southbridge, MA
National Provider Identifier
1982881223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5793
- Practice address
- 176 Main St
Kennedy Donovan Center
Southbridge, MA 01550-2561 - Phone
- (508) 765-0292
- Fax
- (508) 765-0294
- NPI assigned
- Jan 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5793 | MA | Primary |
Addresses
Primary practice location
176 Main St
Kennedy Donovan Center
Southbridge, MA 01550-2561
Mailing address
176 Main St
Kennedy Donovan Center
Southbridge, MA 01550-2561
Phone (508) 765-0292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 Main St
Suite 4
Sturbridge, MA 01566-1569
Phone 50834781411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5793 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Physical Therapy | Occupational Therapist | Current | Accepting new patients |
| Quality Physical Therapy, Inc. | Current | Accepting new patients |
Locations
179 Main St
Unit 5
Sturbridge, MA 01566
Phone (508) 347-8141
135 Main St
Ste 4
Sturbridge, MA 01566
Phone (508) 347-8141
Organizations & group practices 2
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.
-
- Specialist
- Sturbridge, MA
- NPI 1225087133
-
- Occupational Therapist
- Sturbridge, MA
- NPI 1720276249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1982881223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 MAIN ST",
"address_2": "KENNEDY DONOVAN CENTER",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502561",
"telephone_number": "508-765-0292",
"fax_number": "508-765-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 MAIN ST",
"address_2": "KENNEDY DONOVAN CENTER",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502561",
"telephone_number": "508-765-0292",
"fax_number": "508-765-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "JAMES",
"credential": "OT/R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "5793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.