Individual provider Active NPI

Lisa Hong, MOTR/L

  • Occupational Therapist
  • Idaho Falls, ID
National Provider Identifier
1295135028
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-849 Issued in ID
Practice address
3715 Woodking Dr
Idaho Falls, ID 83404-4720
Phone
(208) 521-3253
Fax
(208) 529-2022
NPI assigned
Aug 29, 2014
Last updated
Aug 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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 OT-849 ID Primary

Addresses

Primary practice location

3715 Woodking Dr
Idaho Falls, ID 83404-4720

Mailing address

694 Melrose Dr
Idaho Falls, ID 83401-3250
Phone (208) 521-3253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103000616 ID Practitioner - Occupational Therapist in Private Practice 8527289701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve Therapy and Learning Services, LLCGroup PAC ID 7113382110, 8 clinicians

Practice addresses (Care Compare)

586 1St St
Idaho Falls, ID 83401-3963
Phone (208) 523-6988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Rehabilitation & Performance Services, PLLC Occupational Therapist CurrentSince Oct 1, 2014 Accepting new patients
Idaho State University CurrentSince Jul 1, 2015 Accepting new patients
Achieve Therapy and Learning Services, LLC Occupational Therapist CurrentSince Apr 22, 2024 Accepting new patients
Idaho State University Current Accepting new patients
Idaho State University CurrentSince Jul 1, 2015 Accepting new patients
Generations Occupational Therapy Past Accepting new patients

Locations

3715 Woodking Dr
Idaho Falls, ID 83404
Phone (208) 529-2255

586 1st St
Idaho Falls, ID 83401
Phone (208) 523-6988

1311 E Central Dr
Meridian, ID 83642
Phone (208) 373-1734

Organizations & group practices 6

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1295135028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MELROSE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013250",
            "telephone_number": "208-521-3253",
            "fax_number": "208-529-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 WOODKING DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044720",
            "telephone_number": "208-521-3253",
            "fax_number": "208-529-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "LISA",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.