Lisa Ann Trentham, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1033153 Issued in AL

Practice address

400 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2009

Phone

(205) 345-0192

Fax

(205) 247-2878

NPI assigned

Feb 10, 2014

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

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• The Radiology Clinic LLC

  • Diagnostic Radiology Physician
  • Tuscaloosa, AL
  • NPI 1649235243
  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1114341252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PAUL W BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012009",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PAUL W BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012009",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENTHAM",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1033153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Thuy Tran
• Aimee Lynn Travis
• Roman Lee Travis, MD
• Veronica Harvey Treadway, LGSW
• Michael David Tremba, DC
• Trinity Physical Therapy, LLC
• Skyler Triplett
• Troy Alan Hagen, Inc.
• Anthony Lavon Truelove, ATC
• De'Anna Trunnell, MD

• Occupational Therapist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.