Lisa Ann Palmisano, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1902 Orange Tree LN Ste 100
Redlands, CA 92374-2800

Phone

(909) 500-1191

Fax

(909) 494-7870

NPI assigned

May 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1013572759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ORANGE TREE LN STE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742800",
            "telephone_number": "909-500-1191",
            "fax_number": "909-494-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ORANGE TREE LN STE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742800",
            "telephone_number": "909-500-1191",
            "fax_number": "909-494-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMISANO",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Augustine Panchoo, PSYD
• Edelweiss Pandjaitan, SLP

• Occupational Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.