Active NPI
Lisa Michelle Donovan, OTRL
- Occupational Therapist
- Lumberton, NC
National Provider Identifier
1821273095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3471
- Practice address
- 4895 Fayetteville Rd
Lumberton, NC 28358 - Phone
- (910) 738-4554
- Fax
- (910) 739-4027
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3471 | NC | Primary |
Addresses
Primary practice location
4895 Fayetteville Rd
Lumberton, NC 28358
Mailing address
4895 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 738-4554
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3471 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Regional Medical Center | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Lumberton, NC
- NPI 1356543383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1821273095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "28358",
"telephone_number": "910-738-4554",
"fax_number": "910-739-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "28358",
"telephone_number": "910-738-4554",
"fax_number": "910-739-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "LISA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "3471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.