Healthcare Provider Details

I. General information

NPI: 1255861431
Provider Name (Legal Business Name): LAINE STARKEY OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAINE FOUNTAIN OTR

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 SCHOOL ST
NEWPORT NH
03773-1429
US

IV. Provider business mailing address

307 OAK ST
NEWPORT NH
03773-3007
US

V. Phone/Fax

Practice location:
  • Phone: 603-863-3710
  • Fax:
Mailing address:
  • Phone: 401-302-0801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3541
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: