Individual provider Active NPI

Lisa Susan Lockard, OTR

  • Occupational Therapist
  • Absecon, NJ
National Provider Identifier
1992975858
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00337800 Issued in NJ
Practice address
611 New York Ave
Absecon, NJ 08201-1627
Phone
(609) 646-1368
Fax
(609) 646-1368
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00337800 NJ Primary

Addresses

Primary practice location

611 New York Ave
Absecon, NJ 08201-1627

Mailing address

611 New York Ave
Absecon, NJ 08201-1627
Phone (609) 646-1368

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231000799 NJ Practitioner - Occupational Therapist in Private Practice 4587098447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Rehab Services, LLCGroup PAC ID 2769816628, 2 clinicians

Practice addresses (Care Compare)

611 New York Ave
Absecon, NJ 08201-1627
Phone (609) 957-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00337800NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Rehab Services, LLC CurrentSince Aug 25, 2019 Accepting new patients
Cross Training Rehabilitation, LLC CurrentSince Feb 4, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1992975858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NEW YORK AVE",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082011627",
            "telephone_number": "609-646-1368",
            "fax_number": "609-646-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NEW YORK AVE",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082011627",
            "telephone_number": "609-646-1368",
            "fax_number": "609-646-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKARD",
        "first_name": "LISA",
        "middle_name": "SUSAN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00337800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Absecon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.