Lydia Ellen Myers, MOT, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

OT 60134753 Issued in WA

Practice address

3731 S Skyview Dr
Spokane, WA 99203-2736

Phone

(509) 879-2463

Fax

(509) 443-3061

NPI assigned

May 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lydia Ellen Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1780903500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 S SKYVIEW DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032736",
            "telephone_number": "509-879-2463",
            "fax_number": "509-443-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 S SKYVIEW DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032736",
            "telephone_number": "509-879-2463",
            "fax_number": "509-443-3061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14820 E 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992162165",
            "country_code": "US",
            "telephone_number": "509-922-1644",
            "fax_number": "509-922-8817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LYDIA",
        "middle_name": "ELLEN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "WA",
            "license": "OT 60134753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "PHILLIPS",
            "middle_name": "ELLEN",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra F Myers, OTD, OTR/L
• Dee A Myers, MS
• Jacqueline Myers, MSW, SUDPT, MHP, CC
• Kurt Henry Myers, D.C.
• Lily Myers
• Michael Patrick Myers, LMHC
• Michelle Deeanne Myers
• Nichole Ahrendsen Myers, DMD
• Patricia Ann Myers
• Paul E Myers, MD

• Gerontology Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Gerontology Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.