Individual provider Active NPI

Lisa Cone, OTR/L

  • Gerontology Occupational Therapist
  • Pensacola, FL
National Provider Identifier
1043637887
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
OT21093 Issued in FL
Practice address
4343 Langley Ave
Pensacola, FL 32504-8511
Phone
(914) 390-4347
NPI assigned
Mar 18, 2014
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 056.006880 IL
Gerontology Occupational Therapist 225XG0600X OT21093 FL Primary

Addresses

Primary practice location

4343 Langley Ave
Pensacola, FL 32504-8511

Mailing address

10558 Eastern Shore Blvd Apt 316
Spanish Fort, AL 36527-5853
Phone (309) 696-1299

Other practice location 1

3703 W Lake Ave
Suite 200
Glenview, IL 60026-1223
Phone (847) 998-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210326001475 FL Practitioner - Occupational Therapist in Private Practice 9830506435 Reassigns benefits to 1 organization
I20230515002728 IL Practitioner - Occupational Therapist in Private Practice 9830506435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.006880ILMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC CurrentSince Jan 1, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince May 2, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince May 2, 2023 Accepting new patients
Empowerme Rehabilitation Florida, LLC Gerontology CurrentSince May 2, 2023 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince May 2, 2023 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Gerontology CurrentSince May 2, 2023 Accepting new patients
Empowerme Rehabilitation Illinois, LLC CurrentSince May 2, 2023 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1043637887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10558 EASTERN SHORE BLVD APT 316",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275853",
            "telephone_number": "309-696-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 LANGLEY AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048511",
            "telephone_number": "914-390-4347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3703 W Lake Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261223",
            "country_code": "US",
            "telephone_number": "847-998-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONE",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "IL",
            "license": "056.006880",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "OT21093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.