Provider Demographics
NPI:1255861431
Name:STARKEY, LAINE (OTR)
Entity type:Individual
Prefix:MS
First Name:LAINE
Middle Name:
Last Name:STARKEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:LAINE
Other - Middle Name:
Other - Last Name:FOUNTAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:307 OAK ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NH
Mailing Address - Zip Code:03773-3007
Mailing Address - Country:US
Mailing Address - Phone:401-302-0801
Mailing Address - Fax:
Practice Address - Street 1:21 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773-1429
Practice Address - Country:US
Practice Address - Phone:603-863-3710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3541225X00000X
224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIOT02201OtherOCCUPATIONAL THERAPIST
VT072.0134375OtherOCCUPATIONAL THERAPIST
NH3541OtherOCCUPATIONAL THERAPIST
495020OtherNBCOT