Individual provider Active NPI

Lisa Lue Rigazio, OTR/L

  • Occupational Therapist
  • Litchfield Park, AZ
National Provider Identifier
1609115690
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5026 Issued in AZ
Practice address
14855 W Luna Dr N
Litchfield Park, AZ 85340-2750
Phone
(305) 299-3051
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5026 AZ
Occupational Therapist 225X00000X 5026 AZ Primary

Addresses

Primary practice location

14855 W Luna Dr N
Litchfield Park, AZ 85340-2750

Mailing address

14855 W Luna Dr N
Litchfield Park, AZ 85340-2750
Phone (305) 299-3051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230202003340 SC Practitioner - Occupational Therapist in Private Practice 9739425497 Reassigns benefits to 1 organization
I20240611000141 FL Practitioner - Occupational Therapist in Private Practice 9739425497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Florida, LLCGroup PAC ID 3274962790, 151 clinicians
The Weston Group of South Carolina IncGroup PAC ID 2062651185, 80 clinicians

Practice addresses (Care Compare)

11330 Countryway Blvd
Tampa, FL 33626-2670
Phone (813) 921-8502

5422 Augusta Rd
Lexington, SC 29072-3892
Phone (803) 520-5850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5026AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Florida, LLC CurrentSince Jun 11, 2024 Accepting new patients
The Weston Group of South Carolina Inc Occupational Therapist CurrentSince Dec 9, 2022 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince Jun 11, 2024 Accepting new patients

Locations

11330 Countryway Blvd
Westchase, FL 33626
Phone (813) 536-4723

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050

5422 Augusta Rd
Lexington, SC 29072
Phone (803) 520-5850

3736 Robert M Grissom Pkwy
Myrtle Beach, SC 29577
Phone (843) 448-9300

Organizations & group practices 3

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1609115690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 W LUNA DR N",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853402750",
            "telephone_number": "305-299-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 W LUNA DR N",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853402750",
            "telephone_number": "305-299-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGAZIO",
        "first_name": "LISA",
        "middle_name": "LUE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "5026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.