Individual provider Active NPI

Lisa Wright Parnell, OTR/L, CLT

  • Occupational Therapist
  • Irvington, AL
National Provider Identifier
1053506733
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2755 Issued in AL
Practice address
9420 Highway 188
Suite 9
Irvington, AL 36544-3393
Phone
(251) 824-2515
Fax
(251) 650-1908
NPI assigned
Sep 6, 2007
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2755 AL Primary

Addresses

Primary practice location

9420 Highway 188
Suite 9
Irvington, AL 36544-3393

Mailing address

9420 Highway 188
Suite 9
Irvington, AL 36544-3393
Phone (251) 824-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910002453 AL Practitioner - Occupational Therapist in Private Practice 3870675283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
My Life Occupational Therapy ServicesGroup PAC ID 6305265422, 4 clinicians

Practice addresses (Care Compare)

9420 Hwy 188
Suite 9
Irvington, AL 36544-3393
Phone (251) 824-2515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2755ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
My Life Occupational Therapy Services Occupational Therapist CurrentSince Aug 23, 2020 Accepting new patients

Locations

9420 Highway 188
Ste 9
Irvington, AL 36544
Phone (251) 824-2515

3956 Government Blvd
Mobile, AL 36693
Phone (251) 445-3340

Organizations & group practices 1

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1053506733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 HIGHWAY 188",
            "address_2": "SUITE 9",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365443393",
            "telephone_number": "251-824-2515",
            "fax_number": "251-650-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 HIGHWAY 188",
            "address_2": "SUITE 9",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365443393",
            "telephone_number": "251-824-2515",
            "fax_number": "251-650-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "LISA",
        "middle_name": "WRIGHT",
        "credential": "OTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.