Holly Yvonne Lusa, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.001324 Issued in IL

Practice address

5601 W Cermak Rd
Cicero, IL 60804-2220

Phone

(708) 863-5700

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Gottlieb Community Health Services Corporation

  • Rehabilitation Hospital Unit
  • Berwyn, IL
  • NPI 1871977751
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1205024700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 W WARNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411469",
            "telephone_number": "773-545-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042220",
            "telephone_number": "708-863-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSA",
        "first_name": "HOLLY",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.001324",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "IL",
            "license": "056.001324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Lopez
• Los Quiropracticos, LLC
• LR Health Management, Inc
• Luis E. Mendoza LTD
• Luis F. Santiago, M.D., S.C.
• Luxottica Retail North America Inc
• Magic Smiles, Inc.
• Samantha Emily Magruder, FNP
• Barbara J Majchrowski, O.D
• Dina Manalac, CCC-SLP

• Occupational Therapist in Cicero, IL
• Providers in Cicero, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.