Individual provider Active NPI

Lisa Thuy Solache, MOT/L

  • Occupational Therapist
  • Grand Island, NE
National Provider Identifier
1447776190
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2144 Issued in NE
Practice address
3004 W Faidley Ave
Grand Island, NE 68803-4109
Phone
(308) 675-1853
Fax
(308) 210-4121
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 2144 NE Primary

Addresses

Primary practice location

3004 W Faidley Ave
Grand Island, NE 68803-4109

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853

Other names 1

  • Lisa Thuy Tran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physical Therapy, LLC CurrentSince Jan 1, 2012 Accepting new patients
Maxability Therapy Services, P.C. Occupational Therapist PastSince Sep 17, 2014 Accepting new patients

Locations

1115 M St
Aurora, NE 68818
Phone (402) 694-5170

3004 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-0344

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1447776190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-675-1853",
            "fax_number": "308-210-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034109",
            "telephone_number": "308-675-1853",
            "fax_number": "308-210-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLACHE",
        "first_name": "LISA",
        "middle_name": "THUY",
        "credential": "MOT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "TRAN",
            "middle_name": "THUY",
            "credential": "MOT/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.