Lisa Ahrberg, OTR
Individual provider Active NPI Occupational Therapist · Greenville, NY
NPI 1700255338 · NPPES record last updated Sep 24, 2015
Key facts
- NPI
- 1700255338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 009867 (NY)
- Practice address
- 93 New Ridge Rd
Greenville, NY 12083-2818 - Phone
- (518) 265-0113
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170302001904 | NY | Practitioner - Occupational Therapist in Private Practice | 6103100599 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Occupational and Physical Therapy Speech Language | Current |
Accepting new patients |
Locations
81 Mohawk St
Cohoes, NY 12047
Phone (518) 220-9933
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 009867 | NY | Yes |
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
Other providers in Greenville, NY
- Jennifer Lynn Abate
- Patricia Alice Anderson
- Elizabeth Boomhower
- Jennifer Brown
- Misty Burch
- Brittany Shannon Casale
All providers in Greenville, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.