| James Lane, OT/R | |
|
176 Main St, Kennedy Donovan Center, Southbridge, MA 01550-2561 | |
| (508) 765-0292 | |
| (508) 765-0294 |
| Full Name | James Lane |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 30 Years |
| Location | 176 Main St, Southbridge, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982881223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5793 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quality Physical Therapy Inc | 7618994310 | 5 |
| Provider Name | Quality Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225087133 PECOS PAC ID: 7618994310 Enrollment ID: O20051101000928 |
| Mailing Address | Practice Location Address |
|---|---|
| James Lane, OT/R 176 Main St, Kennedy Donovan Center, Southbridge, MA 01550-2561 Ph: (508) 765-0292 | James Lane, OT/R 176 Main St, Kennedy Donovan Center, Southbridge, MA 01550-2561 Ph: (508) 765-0292 |
Carolyn Walker, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550 Phone: 508-765-0292 | |
Karen Fitzpatrick, OT/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Kennedy Donovan Center, Southbridge, MA 01550 Phone: 508-765-0292 Fax: 508-765-0294 | |
Jennifer Jarvis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550 Phone: 508-765-0292 | |
Rebecca Woloski, OT/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Kennedy Donovan Center, Southbridge, MA 01550 Phone: 508-765-0292 Fax: 508-765-0294 | |
Lisa Cochrane, OT/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Kennedy Donovan Center, Southbridge, MA 01550 Phone: 508-765-0292 Fax: 508-765-0294 | |
Susan Renner, OT/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Kennedy Donovan Center, Southbridge, MA 01550 Phone: 508-765-0292 Fax: 508-765-0294 | |
Anita Bullard, OT/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Kennedy Donovan Center, Southbridge, MA 01550 Phone: 508-765-0292 Fax: 508-765-0294 |