Active NPI
Lisa Herlocker Richardson, COTA
- Occupational Therapy Assistant
- Albemarle, NC
National Provider Identifier
1912101627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4431
- Practice address
- 33426 Old Salisbury Road
Albemarle, NC 28002 - Phone
- (704) 986-4481
- NPI assigned
- Jun 14, 2007
- 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 Therapy Assistant | 224Z00000X | 4431 | NC | Primary |
Addresses
Primary practice location
33426 Old Salisbury Road
Albemarle, NC 28002
Mailing address
35296 Pickler Rd
Albemarle, NC 28001-9659
Phone (198) 058-1076
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1912101627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35296 PICKLER RD",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280019659",
"telephone_number": "198-058-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33426 OLD SALISBURY ROAD",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "28002",
"telephone_number": "704-986-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "LISA",
"middle_name": "HERLOCKER",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "4431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.