Active NPI
Lisa K Carroll, OTR
- Occupational Therapist
- Paulsboro, NJ
National Provider Identifier
1174734222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00407000
- Practice address
- 550 Jessup Rd
Paulsboro, NJ 08066-1921 - Phone
- (856) 848-9551
- NPI assigned
- May 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 46TR00407000 | NJ | Primary |
Addresses
Primary practice location
550 Jessup Rd
Paulsboro, NJ 08066-1921
Mailing address
110 Wycombe CT
Woodbury, NJ 08096-4228
Phone (856) 227-8365
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 |
|---|---|---|---|
| 46TR00407000 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manor Care-West Deptford of Paulsboro NJ LLC | Past | Accepting new patients | |
| Physiatry Consultants of NJ LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba ManorCare Health Services
- Skilled Nursing Facility
- Paulsboro, NJ
- NPI 1114962073
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1710690631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174734222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WYCOMBE CT",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080964228",
"telephone_number": "856-227-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 JESSUP RD",
"city": "PAULSBORO",
"state": "NJ",
"postal_code": "080661921",
"telephone_number": "856-848-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "LISA",
"middle_name": "K",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00407000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paulsboro, NJ
- Paul W Baker Jr., MD
- Bancroft, a New Jersey Nonprofit Corporation
- Board of Education of the Borough of Paulsboro (Paulsboro Public School District)
- Gary Bruce Budman, DMD
- Camcare Health Corporation
- Remenda M Charles
- Timika Davis, LPN
- Delaware Valley Physicians & Surgeons
- Devereux Foundation (Devereux Advanced Behavioral Health)
- Benjamin D Dijoseph Jr., DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.