Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa A Edmonds, OT

Individual provider Occupational Therapist · NPI 1205017795

Lisa A Edmonds, OT is an Occupational Therapist in Private Practice in Boulder, Colorado. Qualified in 2000, 26 years ago. Licensed in Colorado and New Mexico.

Years since qualifying
26
Licensed in
CO, NM
In the registry since
2007
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

2299 Pearl St Ste 300
Boulder, CO 80302-4673
Phone: (720) 845-0001
Fax: (720) 204-1748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT.0009337 (CO)
Occupational Therapist Taxonomy 225X00000X · Licence 1926 (NM)

Record details

NPI number1205017795
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedNovember 26, 2007
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address2299 Pearl St Ste 300, Boulder, CO 80302-4673

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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