Individual provider Active NPI

Lisa Y Allison, OT

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1184904203
Registry record updated Aug 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1504 Issued in NM
Practice address
505 Elm St NE
Albuquerque, NM 87102-2500
Phone
(505) 727-4725
NPI assigned
Aug 20, 2011
Last updated
Aug 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2011

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 1504 NM Primary

Addresses

Primary practice location

505 Elm St NE
Albuquerque, NM 87102-2500

Mailing address

12613 Elaine PL NE
Albuquerque, NM 87112-3627
Phone (505) 514-6648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000506 NM Practitioner - Occupational Therapist in Private Practice 7416112693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1504NMMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Unm Rehabilitation Hospital LLC Occupational Therapist CurrentSince May 1, 2017 Accepting new patients
Lovelace Unm Rehabilitation Hospital, LLC CurrentSince May 1, 2017 Accepting new patients
Lovelace Unm Rehabilitation Hospital LLC Current Accepting new patients

Locations

505 Elm St NE
Albuquerque, NM 87102
Phone (505) 727-4700

Organizations & group practices 3

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": "1313798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313798400000",
    "number": "1184904203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 ELAINE PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123627",
            "telephone_number": "505-514-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022500",
            "telephone_number": "505-727-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "LISA",
        "middle_name": "Y",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-20",
        "last_updated": "2011-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2011; 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.