Lisa Marie Slade, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021549 Issued in NY

Practice address

600 Northern Blvd
Albany, NY 12204-1004

Phone

(518) 471-3195

NPI assigned

Jul 19, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144743436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041004",
            "telephone_number": "518-471-3195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Hennett Rd.",
            "address_purpose": "LOCATION",
            "city": "Valatie",
            "state": "NY",
            "postal_code": "12184",
            "country_code": "US",
            "telephone_number": "518-755-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLADE",
        "first_name": "LISA MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahvegyil Skolnick
• David S Skory, MD
• Courtney Ann Skriptshak, PHARMD
• Jasmine Sky, LCSW
• Kyla Slabbert, MS
• Carolyn Jean Slatch, MD
• Joyce Marie Slater, CNM, MSN
• Michael Slavett, LMSW
• Erik W Sleicher
• Melanie A Sleight, RN

• Occupational Therapist in Albany, NY
• Providers in Albany, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.