Individual provider Active NPI

Lisa M Broyden, MS, OTR/L

  • Hand Occupational Therapist
  • Christiansburg, VA
National Provider Identifier
1972368884
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
125 Akers Farm Rd Ste B
Christiansburg, VA 24073-4867
Phone
(540) 773-2656
Fax
(540) 251-3461
NPI assigned
Feb 20, 2024
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X Primary

Addresses

Primary practice location

125 Akers Farm Rd Ste B
Christiansburg, VA 24073-4867

Mailing address

PO Box 715868
Philadelphia, PA 19171-5868
Phone (804) 915-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411001992 VA Practitioner - Occupational Therapist in Private Practice 2466891379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

125 Akers Farm Rd
Suite Bandc
Christiansburg, VA 24073-4866
Phone (540) 552-7133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Orthovirginia, Inc CurrentSince Apr 15, 2024 Accepting new patients
Orthovirginia Inc Hand Current Accepting new patients
Orthovirginia, Inc. Hand PastSince Feb 1, 2024 Accepting new patients
Orthovirginia, Inc. Hand PastSince Feb 1, 2024 Accepting new patients

Locations

250 S Main St
Ste 224A
Blacksburg, VA 24060
Phone (540) 552-7122

125 Akers Farm Rd
Ste B
Christiansburg, VA 24073
Phone (540) 381-8595

125 Akers Farm Rd
Ste Cd
Christiansburg, VA 24073
Phone (540) 554-7121

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1972368884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715868",
            "telephone_number": "804-915-1910",
            "fax_number": "804-968-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AKERS FARM RD STE B",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734867",
            "telephone_number": "540-773-2656",
            "fax_number": "540-251-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYDEN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.