Individual provider Active NPI

Lisa M Fowler, OTRL, CHT

  • Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1609873777
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1867 Issued in AZ
Practice address
437 W Thurber Rd
Ste 2
Tucson, AZ 85705-6822
Phone
(520) 293-5252
Fax
(520) 293-5454
NPI assigned
Jul 5, 2005
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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 1867 AZ Primary

Addresses

Primary practice location

437 W Thurber Rd
Ste 2
Tucson, AZ 85705-6822

Mailing address

4172 W Pyracantha Cir
Tucson, AZ 85741-1339
Phone (520) 400-0726

Other identifiers 2

IdentifierTypeStateIssuer
86059251885704C007OtherAZTRICARE NUMBER
6013520001OtherAZMEDICARE PTAN DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000494 AZ Practitioner - Occupational Therapist in Private Practice 1456365386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalina Hand and Shoulder Therapy PCGroup PAC ID 2668489956, 3 clinicians

Practice addresses (Care Compare)

437 W Thurber Rd
Suite 2
Tucson, AZ 85705-6821
Phone (520) 400-0726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catalina Hand and Shoulder Therapy, PC Occupational Therapist CurrentSince Feb 1, 2006 Accepting new patients
Tucson Physical Therapy, PC Past Accepting new patients

Locations

437 W Thurber Rd
Ste 2
Tucson, AZ 85705
Phone (520) 293-5252

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1609873777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 W PYRACANTHA CIR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411339",
            "telephone_number": "520-400-0726",
            "fax_number": "520-293-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 W THURBER RD",
            "address_2": "STE 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056822",
            "telephone_number": "520-293-5252",
            "fax_number": "520-293-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "OTRL, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "1867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NUMBER",
            "identifier": "86059251885704C007",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN DME",
            "identifier": "6013520001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.