Lisa Ahlberg
Individual provider Active NPI Occupational Therapist · Rockford, IL
NPI 1962375899 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1962375899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056003815 (IL)
- Practice address
- 5970 Churchview Dr
Rockford, IL 61107-2574 - Phone
- (815) 971-2000
- NPI assigned
- Sep 26, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056003815 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Past | Accepting new patients |
Interoperability endpoints
- lahlberg50764@direct.mhemail.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056003815 | IL | Yes |
Addresses
Primary practice location
5970 Churchview Dr
Rockford, IL 61107-2574
Mailing address
1114 Benbrook Dr
Loves Park, IL 61111-8977
Phone (815) 971-2000
Other providers in Rockford, IL
- Jennifer Edugwu Agbo
- Carlos Aguero-Medina
- Isabella Marie Aguirre
- Ann Agustsson Mathers
- Thordur Skuli Agustsson
- Iftekhar Y Ahmad
- Mashood Ahmad
- Waqas Ahmad
- Mohammed Ilyas Ahmed Khan
- Bilal A Ahmed
All providers in Rockford, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.