Individual provider Active NPI

Lisa Maureen Ely, RCP

  • Pulmonary Rehabilitation Registered Respiratory Therapist
  • Lockport, IL
National Provider Identifier
1962622621
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Registered Respiratory TherapistTaxonomy code 2279P1005X
License
194004105 Issued in IL
Practice address
16347 S Canterbury Way
Lockport, IL 60441-2995
Phone
(708) 301-3796
NPI assigned
Apr 26, 2007
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X 194004105 IL Primary

Addresses

Primary practice location

16347 S Canterbury Way
Lockport, IL 60441-2995

Mailing address

16347 S Canterbury Way
Lockport, IL 60441-2995
Phone (708) 301-3796

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
194004105ILMDPulmonary Rehabilitation Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1962622621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16347 S CANTERBURY WAY",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604412995",
            "telephone_number": "708-301-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16347 S CANTERBURY WAY",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604412995",
            "telephone_number": "708-301-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "LISA",
        "middle_name": "MAUREEN",
        "credential": "RCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "IL",
            "license": "194004105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.