Active NPI
Lisa Marie Landman, COTA/L
- Occupational Therapy Assistant
- Centennial, CO
National Provider Identifier
1043753452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.0000815
- Practice address
- 3442 E Costilla Ave
Centennial, CO 80122-1852 - Phone
- (303) 776-0177
- NPI assigned
- Dec 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA.0000815 | CO | Primary |
Addresses
Primary practice location
3442 E Costilla Ave
Centennial, CO 80122-1852
Mailing address
3442 E Costilla Ave
Centennial, CO 80122-1852
Phone (303) 776-0177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.0000815 | CO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1043753452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3442 E COSTILLA AVE",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801221852",
"telephone_number": "303-776-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3442 E COSTILLA AVE",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801221852",
"telephone_number": "303-776-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDMAN",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "OTA.0000815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.