Active NPI
Ability Rehab Services, LLC
- Gerontology Occupational Therapist
- Absecon, NJ
National Provider Identifier
1215490404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- Legal business name
- ABILITY REHAB SERVICES, LLC
- Practice address
- 611 New York Ave
Absecon, NJ 08201-1627 - Phone
- (609) 204-5289
- NPI assigned
- Apr 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Susan Lockard, OT
- Title
- Co-Owner
- Phone
- (609) 204-5289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | Primary |
Addresses
Primary practice location
611 New York Ave
Absecon, NJ 08201-1627
Mailing address
611 New York Ave
Absecon, NJ 08201-1627
Phone (609) 204-5289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191231000662 | NJ | Part B Supplier - Clinic/Group Practice | 2769816628 |
Receives reassigned benefits from 4 practitioners Practice locations: Absecon, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566172800000",
"number": "1215490404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 NEW YORK AVE",
"city": "ABSECON",
"state": "NJ",
"postal_code": "082011627",
"telephone_number": "609-204-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 NEW YORK AVE",
"city": "ABSECON",
"state": "NJ",
"postal_code": "082011627",
"telephone_number": "609-204-5289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABILITY REHAB SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-13",
"last_updated": "2019-08-19",
"status": "A",
"authorized_official_last_name": "LOCKARD",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "609-204-5289",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Absecon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.