Lisa Marnell, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

9590 Issued in CA

Practice address

809 Raintree CT
Westlake Village, CA 91361-1839

Phone

(617) 694-6902

NPI assigned

Dec 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Master Skills LLC

  • Occupational Therapist
  • Westlake Village, CA
  • NPI 1154026839
  NPD Authorized official
• Academy for the Advancement of Children With Autism

  • Speech-Language Pathologist
  • Chatsworth, CA
  • NPI 1609156413

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1023353505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 RAINTREE CT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611839",
            "telephone_number": "617-694-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 RAINTREE CT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611839",
            "telephone_number": "617-694-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARNELL",
        "first_name": "LISA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9590",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "9590",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "CA",
            "license": "9590",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "9590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Shore, PHD, Inc.
• Hector Francisco Mariscal, CATC I
• Mark Emmitt Marriage and Family Therapist Inc.
• Mark Farnum, M.D., a Professional Corporation
• Marlene W. Valter, PSYD
• Lucy E Marrero, MFT
• Marriage Counseling Ctr Sexual Health
• Lauren Michele Marshall, LMFT
• Beth Martak
• Anna Martin

• Pediatric Occupational Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.