Lisa Braughton, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR846 Issued in AR

Practice address

2915 S Hazel St
Pine Bluff, AR 71603-5008

Phone

(870) 535-0010

NPI assigned

Jan 24, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Boaz & Associates, Inc.

  • Physical Therapy Clinic/Center
  • Wynne, AR
  • NPI 1518011816
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891840690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ELDRIDGE AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964032",
            "telephone_number": "870-208-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035008",
            "telephone_number": "870-535-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUGHTON",
        "first_name": "LISA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "5X433",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Bradshaw
• Spencer Branch
• Amber Brannan
• Aaron O Branscomb, BS, MHPP
• Tracy Brashears, BS, MHPP
• Jordan Lynn Brazeal, PHARM.D.
• Chelsea N. Briggs
• Latasha Briggs
• Tina Marie Britton
• Broken Crayons, LLC

• Occupational Therapist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.