Active NPI 1821189473 Individual Practitioner Female Practitioner

Lisa Jill Mick , OT

Specialist • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Lisa Mick, OT is a registered healthcare professional specializing in Specialist in Albuquerque, NM. Practice services are available at 5200 COPPER AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5200 Copper Ave Ne

Albuquerque, NM 871081473

Telephone 5052555099

Associated Practice Facility / Clinic

🏢 Easi Therapy & Diagnostic Services Inc. Facility NPI 1114950649

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Albuquerque, NM

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 39.5 Yrs

State Avg: 38.4 Yrs

Regional Practice Density

149 Specialists

Practicing in Albuquerque, NM (429 Statewide)

Telehealth Adoption Rate

4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NM 1421

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

B7913 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kirsten Carlson , OT

Occupational Therapist

NPI 1023115755

Occupational Therapist

Julieann Cribari , OT

Occupational Therapist

NPI 1023115995

Occupational Therapist

Maureen Brooks

Speech-Language Pathologist

NPI 1043845977

Suzanne Poirier , OT

Occupational Therapist

NPI 1063503951

Occupational Therapist

Grace Du Pont

Speech-Language Pathologist

NPI 1063556694

John Fankhauser , OT

Occupational Therapist

NPI 1083711147

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5200 COPPER AVE NE, ALBUQUERQUE, NM 871081473 (Tel: 5052555099)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5200 COPPER AVE NE, ALBUQUERQUE, NM 871081473 (Tel: 5052555099)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as LISA MICK, OT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #1421 in NM)

🟢

Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821189473

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 27, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5200 Copper Ave Ne

Albuquerque, NM 871081473

Phone: 5052555099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.