Lisa A. Edmonds, OT
NPI 1205017795ActiveIndividual· Occupational Therapist· Boulder, CO
Occupational Therapist (OT) in Boulder, Colorado, licensed in CO and NM, with an NPI issued in November 2007. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1205017795 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | No |
| NPI issued | Nov 26, 2007 |
| Last updated in NPPES | Jul 2, 2026 |
| Certified by provider | Jul 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT.0009337 | CO |
| Occupational Therapist | 225X00000X | 1926 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CO) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
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