Lisa Angela Loomis

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09025100 Issued in NJ

Practice address

401 Independence Blvd
Sicklerville, NJ 08081-1094

Phone

(856) 210-2777

NPI assigned

Jul 30, 2013

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

Other names 1

• Lisa A Michaelchuck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Therapeutic Puzzle

  • Rehabilitation Clinic/Center
  • Sicklerville, NJ
  • NPI 1083967319
  NPD (past)

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1588096739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 INDEPENDENCE BLVD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811094",
            "telephone_number": "856-210-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 INDEPENDENCE BLVD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811094",
            "telephone_number": "856-210-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "LISA",
        "middle_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09025100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MICHAELCHUCK",
            "middle_name": "A",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julio-Camilo Livingston
• Cynthia Lizardo, R.PH.
• Llave Consulting Group, LLC
• Kayla Sherell Lloyd
• Kelly R Locascio, M.A.
• Karen Lopez-Robinson
• Erica Nazareno Lopez, PHARMD
• Alaya Simone Lott
• Pierre D Louis, M.S. ED., BCBA
• Lourdes Medical Associates, PA

• Occupational Therapy Assistant in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.