Nisa Russell Libbey, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0004073 Issued in CO

Practice address

345 Vernier Ave
Lafayette, CO 80026-3128

Phone

(720) 308-2565

NPI assigned

Jan 11, 2016

Last updated

Jan 11, 2016By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Libbey Occupational Therapy Services LLC

  • Pediatric Occupational Therapist
  • Boulder, CO
  • NPI 1699142380
  NPD (past) Authorized official

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1972969624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 VERNIER AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263128",
            "telephone_number": "720-308-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 VERNIER AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263128",
            "telephone_number": "720-308-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBEY",
        "first_name": "NISA",
        "middle_name": "RUSSELL",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick L Lewis, RBT
• Sherry Ann Lewis, L.P.C.
• Beth Marie Lewkowski, MD
• Brian Carl Leypoldt, B.S., D.D.S., M.S.D.
• Zhixue Li
• Michael Keith Lichtman, MD
• Barbara Kaye Liddle
• Shane A Lieberman, MD
• Ellen Liebgold
• Meghan Shaw Liel, M.D.

• Occupational Therapist in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.