Individual provider Active NPI

Lisa Goble

  • Occupational Therapist
  • Bloomfield Hills, MI
National Provider Identifier
1740310770
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201001806 Issued in MI
Practice address
42869 Woodward Ave
Bloomfield Hills, MI 48304-5036
Phone
(248) 952-9180
Fax
(248) 952-9185
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 5201001806 MI Primary

Addresses

Primary practice location

42869 Woodward Ave
Bloomfield Hills, MI 48304-5036

Mailing address

5798 Highland Rd
Waterford, MI 48327-1826
Phone (248) 724-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000109 MI Practitioner - Occupational Therapist in Private Practice 6204932510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Hand and Rehabilitation LLCGroup PAC ID 4183914047, 12 clinicians

Practice addresses (Care Compare)

1910 S Rochester Rd
Rochester Hills, MI 48307-3534
Phone (248) 218-5150

42869 Woodward Ave
Bloomfield Hills, MI 48304-5036
Phone (248) 724-4400

5798 Highland Rd
Waterford, MI 48327-1826
Phone (248) 724-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiwi PT, LLC CurrentSince Jun 26, 2017 Accepting new patients
Comprehensive Hand & Rehabilitation, LLC CurrentSince May 3, 2016 Accepting new patients
Comprehensive Hand & Rehabilitation, LLC Occupational Therapist CurrentSince Jul 11, 2016 Accepting new patients
William Sterling Margaret LLC Past Accepting new patients

Locations

42869 Woodward Ave
Bloomfield Hills, MI 48304
Phone (248) 724-4400

2330 S Milford Rd
Ste 108
Highland, MI 48357
Phone (248) 387-5494

5798 Highland Rd
Waterford, MI 48327
Phone (248) 724-4400

Organizations & group practices 4

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1740310770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5798 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271826",
            "telephone_number": "248-724-4400",
            "fax_number": "248-724-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42869 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045036",
            "telephone_number": "248-952-9180",
            "fax_number": "248-952-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBLE",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.