Individual provider Active NPI

Lisa Ahrberg, OTR

  • Occupational Therapist
  • Greenville, NY
National Provider Identifier
1700255338
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
009867 Issued in NY
Practice address
93 New Ridge Rd
Greenville, NY 12083-2818
Phone
(518) 265-0113
NPI assigned
Sep 24, 2015
Last updated
Sep 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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 009867 NY Primary

Addresses

Primary practice location

93 New Ridge Rd
Greenville, NY 12083-2818

Mailing address

93 New Ridge Rd
Greenville, NY 12083-2818
Phone (518) 265-0113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170302001904 NY Practitioner - Occupational Therapist in Private Practice 6103100599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009867NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Occupational and Physical Therapy Speech Language CurrentSince Jan 28, 2017 Accepting new patients

Locations

81 Mohawk St
Cohoes, NY 12047
Phone (518) 220-9933

Organizations & group practices 1

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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1700255338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 NEW RIDGE RD",
            "city": "GREENVILLE",
            "state": "NY",
            "postal_code": "120832818",
            "telephone_number": "518-265-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 NEW RIDGE RD",
            "city": "GREENVILLE",
            "state": "NY",
            "postal_code": "120832818",
            "telephone_number": "518-265-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRBERG",
        "first_name": "LISA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "009867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.

Verify at the official NPI Registry.