Active NPI
Alexa Nell Lieb, OTR/L
- Occupational Therapist
- Pueblo, CO
National Provider Identifier
1457957326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0006647
- Practice address
- 1301 Fortino Blvd
Pueblo, CO 81008-2032 - Phone
- (719) 597-0822
- NPI assigned
- Dec 7, 2020
- Last updated
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0006647 | CO | Primary |
Addresses
Primary practice location
1301 Fortino Blvd
Pueblo, CO 81008-2032
Mailing address
1301 Fortino Blvd
Pueblo, CO 81008-2032
Phone (719) 597-0822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240522001992 | CO | Practitioner - Occupational Therapist in Private Practice | 3779925771 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1457957326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 FORTINO BLVD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082032",
"telephone_number": "719-597-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 FORTINO BLVD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082032",
"telephone_number": "719-597-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEB",
"first_name": "ALEXA",
"middle_name": "NELL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0006647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
- Lynn R Leyba, NP, CNM
- Michael Edward Leyba, MA,LPC,CACIII
- Stephanie Dana Leyba, BA, CACI
- Liberty Dialysis Pueblo LLC (U.S. Renal Care Pueblo Dialysis)
- Kenneth John Liddiard, DMD
- John P Lieberman, M.D.
- Dana G Lieser, LPN
- Life Choice Hospice of Colorado II, LLC (Compassus - Greater Colorado Springs)
- Life Solutions, LLC
- Life's Journey Family Chiropractic LLC, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.