Lisa M Riley, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201004044 Issued in MI

Practice address

600 Health Park
Ste C
Grand Blanc, MI 48439-2558

Phone

(810) 603-8300

Fax

(810) 603-8305

NPI assigned

Apr 30, 2007

Last updated

Sep 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

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.

• Ascension Genesys Hospital

  dba Ascension Genesys Short Term Rehabilitation Center

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1093125312
  NPD (past)
• Boike Medical Services PLLC

  • Neurology Physician
  • Flint, MI
  • NPI 1467645317
  NPD (past)
• Genesys Regional Medical Center

  dba Genesys Therapy Services

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1972643146

  Occupational Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1780804807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK",
            "address_2": "STE C",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-603-8300",
            "fax_number": "810-603-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Richter, PA
• Joslynn Ridley
• Sara Rietsch, MS, LPC, CAADC
• Mark Rigby, DO
• Markeytta Riggs
• Gwendolyn P Ringwelski
• Rise & Shine Orthopedics PLLC
• Rite Aid
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04956)
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 07733)

• Occupational Therapist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.