Lisa Anne Dagustine, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

011928-1 Issued in NY

Practice address

2495 Main St
Buffalo, NY 14214-2152

Phone

(716) 836-5929

NPI assigned

Jan 18, 2011

Sex

Female

Sole proprietor

No

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

State licenses

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.

• Optimal Therapy Associates

  • Early Intervention Provider Agency
  • Buffalo, NY
  • NPI 1013212471
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1033414354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 ABBINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231628",
            "telephone_number": "716-836-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-836-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGUSTINE",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011928-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rose Dacierno, RN, BSN
• Daemen University Physical Therapy Inc
• Christiane H Dagher, MD
• Fadi Dagher, MD
• Luis Carlos Daguiar, P.T.
• Rachel H Dah, LMSW
• Jillian Jo Dahlberg, R.N.
• Karen Dahn
• Elena Dai, PA
• Benjamin Daigler, PHARM.D.

• Occupational Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.