MRS. AMY LACK MOT
NPI 1053814137
Occupational Therapist in La Mesa, CA
About Mrs. Amy Lack Mot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMY LACK MOT (NPI 1053814137) is an individual occupational therapist in La Mesa, California, licensed in California (27358) and active in the NPI registry since March 2018.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Amy Lack Mot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Lack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Solana Beach, CA 92075
- Reassigned Medicare billing, California enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA MESA, CA 91942
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amy Lack's NPI number?
The NPI number for Amy Lack is 1053814137. It was assigned to this individual provider in the NPPES registry on March 14, 2018. The provider is also known as Ms. Amy Yang.
Where is Amy Lack located?
Amy Lack practices at 7862 El Cajon Blvd, La Mesa, CA 91942. The listed phone number is (619) 647-6157.
What is Amy Lack's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Amy Lack enrolled in Medicare?
Yes. Amy Lack is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Lack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Lack reassigns Medicare benefits to Rise Physical Therapy Inc (Solana Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Lack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Lack was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.