Active NPI
Lisa Le, OTR/L
- Occupational Therapist
- Waco, TX
National Provider Identifier
1780292300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0008500
- Practice address
- 4900 Sanger Ave
Waco, TX 76710-5866 - Phone
- (254) 848-6284
- NPI assigned
- Jul 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 120875 | TX | |
| Occupational Therapist | 225X00000X | 0008500 | CO | Primary |
Addresses
Primary practice location
4900 Sanger Ave
Waco, TX 76710-5866
Mailing address
1727 N Pearl St Apt 106
Denver, CO 80203-1487
Phone (956) 203-8867
Other practice location 1
1573 S Catawba Cir
Aurora, CO 80018-6012
Phone (172) 047-3979
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0008500 | CO | MD | Occupational Therapist |
| 120875 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Therapy Specialties LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4900 Sanger Ave
Waco, TX 76710
Phone (254) 644-2423
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1780292300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1727 N PEARL ST APT 106",
"city": "DENVER",
"state": "CO",
"postal_code": "802031487",
"telephone_number": "956-203-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SANGER AVE",
"city": "WACO",
"state": "TX",
"postal_code": "767105866",
"telephone_number": "254-848-6284"
}
],
"practiceLocations": [
{
"address_1": "1573 S Catawba Cir",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800186012",
"country_code": "US",
"telephone_number": "172-047-3979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "LISA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120875",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "0008500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.