Lisa Dorothy Triolo, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-808 Issued in ID

Practice address

764 W Heather Woods Dr
Nampa, ID 83686-2685

Phone

(208) 461-4882

Fax

(208) 461-4882

NPI assigned

Mar 16, 2008

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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.

• Passport to Independence,LLC

  • Occupational Medicine Clinic/Center
  • Nampa, ID
  • NPI 1275790081
  NPD (past)

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205625600000",
    "number": "1336310564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 W HEATHER WOODS DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862685",
            "telephone_number": "208-461-4882",
            "fax_number": "208-461-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 W HEATHER WOODS DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862685",
            "telephone_number": "208-461-4882",
            "fax_number": "208-461-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIOLO",
        "first_name": "LISA",
        "middle_name": "DOROTHY",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-16",
        "last_updated": "2008-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tru Living Recovery LLC
• Jake Tucker

• Occupational Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Occupational Therapist in Idaho

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