IndividualActive
Mary Lannon, OTA
NPI 1083868079 · Occupational Therapy Assistant · Skaneateles, NY
Provider details
- NPI number
- 1083868079
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sex
- Female
- Sole proprietor
- No
- License
- 002100-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22 E Lake St
Skaneateles, NY 13152-1305
Phone: (315) 685-7928
Street-level locationGet directions
Mailing address
201 Clark Ln
Camillus, NY 13031-2409
Registry dates
- Enumerated
- 2008-11-04
- Last updated
- 2008-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.