Active NPI
Lise Marguerite Busby, OTR
- Occupational Therapist
- Laguna Hills, CA
National Provider Identifier
1053443606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 192
- Practice address
- 23293 S Pointe Dr
Laguna Hills, CA 92653-1447 - Phone
- (949) 770-5843
- Fax
- (949) 770-9546
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 192 | CA | Primary |
Addresses
Primary practice location
23293 S Pointe Dr
Laguna Hills, CA 92653-1447
Mailing address
21191 Limber
Mission Viejo, CA 92692-4068
Phone (949) 770-5843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 192 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053443606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21191 LIMBER",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926924068",
"telephone_number": "949-770-5843",
"fax_number": "949-770-9546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23293 S POINTE DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531447",
"telephone_number": "949-770-5843",
"fax_number": "949-770-9546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSBY",
"first_name": "LISE",
"middle_name": "MARGUERITE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.