Lissa Lope Liveson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

111552 Issued in TX

Practice address

2100 Corpus Christi St
Suite 14
Laredo, TX 78043-3398

Phone

(956) 724-5448

Fax

(956) 724-5449

NPI assigned

Sep 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safari Kids Rehabilitation Center,LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Laredo, TX
  • NPI 1154567568

  Occupational Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1013102862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CORPUS CHRISTI ST",
            "address_2": "SUITE 14",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433398",
            "telephone_number": "956-724-5448",
            "fax_number": "956-724-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CORPUS CHRISTI ST",
            "address_2": "SUITE 14",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433398",
            "telephone_number": "956-724-5448",
            "fax_number": "956-724-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVESON",
        "first_name": "LISSA",
        "middle_name": "LOPE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lionheart Primary Home Care Inc
• Lionsitos Primary Home Care, Inc.
• Juan Antonio Lira Escobedo, FNP-C
• Jesus Enrique Lira Jr., RD
• Little Heroes Pediatric Denitstry PLLC
• Carlos Mauricio Llanes, MD
• LMJ Imaging Services Open MRI, Inc
• LNM Behavioral Therapy, LLC
• Roberto N Loar, D.D.S.
• Lobo RX, LLC

• Occupational Therapist in Laredo, TX
• Providers in Laredo, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.