Active NPI
Lisa S Ivey, OT
- Occupational Therapist
- Frankfort, IN
National Provider Identifier
1639659535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005359A
- Practice address
- 2485 E Wabash St Ste 100
Frankfort, IN 46041-9400 - Phone
- (765) 485-8100
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 31005359A | IN | Primary |
Addresses
Primary practice location
2485 E Wabash St Ste 100
Frankfort, IN 46041-9400
Mailing address
2705 N Lebanon St Ste 305
Lebanon, IN 46052-8622
Phone (765) 485-8852
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1639659535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 N LEBANON ST STE 305",
"city": "LEBANON",
"state": "IN",
"postal_code": "460528622",
"telephone_number": "765-485-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 E WABASH ST STE 100",
"city": "FRANKFORT",
"state": "IN",
"postal_code": "460419400",
"telephone_number": "765-485-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "LISA",
"middle_name": "S",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005359A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.