Individual provider Active NPI

Lisa A Edmonds, OT

  • Occupational Therapist
  • Boulder, CO
National Provider Identifier
1205017795
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0009337 Issued in CO
Practice address
2299 Pearl St Ste 300
Boulder, CO 80302-4673
Phone
(720) 845-0001
Fax
(720) 204-1748
NPI assigned
Nov 26, 2007
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0009337 CO Primary
Occupational Therapist 225X00000X 1926 NM

Addresses

Primary practice location

2299 Pearl St Ste 300
Boulder, CO 80302-4673

Mailing address

2299 Pearl St Ste 300
Boulder, CO 80302-4673
Phone (720) 845-0001

Other names 1

  • Lisa Crabtree Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625002837 CO Practitioner - Occupational Therapist in Private Practice 8628155694

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2299 Pearl St
Suite 300
Boulder, CO 80302-4668

PO Box
Suite 204
San Cristobal, NM 87564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1926NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Hand Therapy Services LLC CurrentSince Aug 1, 2026 Accepting new patients

Locations

2299 Pearl St
Ste 200
Boulder, CO 80302
Phone (720) 845-0001

2299 Pearl St
Ste 300
Boulder, CO 80302

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1205017795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 PEARL ST STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024673",
            "telephone_number": "720-845-0001",
            "fax_number": "720-204-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 PEARL ST STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024673",
            "telephone_number": "720-845-0001",
            "fax_number": "720-204-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0009337",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CRABTREE",
            "credential": "OT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.