Healthcare Provider Details

I. General information

NPI: 1447193081
Provider Name (Legal Business Name): NANCY LANKFORD OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 HARRISON AVE APT 508
BOSTON MA
02118-2396
US

IV. Provider business mailing address

485 HARRISON AVE APT 508
BOSTON MA
02118-2396
US

V. Phone/Fax

Practice location:
  • Phone: 617-821-7582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number6003
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: