NPIMap

Individual provider Active NPI

Lizz Lackey Waple, COTAL

  • Occupational Therapy Assistant
  • Moulton, AL
National Provider Identifier
1821147182
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2698 Issued in AL
Practice address
300 Hospital St
Moulton, AL 35650
Phone
(256) 974-1146
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2698 AL Primary

Addresses

Primary practice location

300 Hospital St
Moulton, AL 35650

Mailing address

1115 Jodi Cir SE
Hartselle, AL 35640-3390
Phone (256) 303-7090

Other names 1

  • Mrs. Lizz Lackey Waple Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2698ALMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1821147182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 JODI CIR SE",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356403390",
            "telephone_number": "256-303-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL ST",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "35650",
            "telephone_number": "256-974-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAPLE",
        "first_name": "LIZZ",
        "middle_name": "LACKEY",
        "name_prefix": "Mrs.",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AL",
            "license": "2698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZZ",
            "last_name": "WAPLE",
            "middle_name": "LACKEY",
            "prefix": "MRS.",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moulton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.