Lisa Riley, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.002213 Issued in IL

Practice address

208 Zachery Dr
Mount Vernon, IL 62864-6712

Phone

(618) 204-5497

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1225287089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SHORT ST",
            "city": "BLUFORD",
            "state": "IL",
            "postal_code": "628141229",
            "telephone_number": "618-315-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ZACHERY DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646712",
            "telephone_number": "618-204-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LISA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.002213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilient Roots Therapy PLLC
• Samantha Reynolds
• Lynn Rheinecker, PHARM.D., R.PH.
• Natasha Carol Rhodes, AGNP-C
• Amy Lynn Richards
• Julie Ann Cammon Rinehart, CNM, WHNP-BC
• Lori Ringel, LCSW
• Rebecca Breanne Ritchey, M.S. CCC-SLP
• Emily Roach, NP
• Jennifer Lynn Robinet, ATC

• Occupational Therapy Assistant in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.