Lise Ketterer, COTA. NHA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2750 Kittyhawk Rd
Colorado Springs, CO 80920-1441

Phone

(949) 813-8637

NPI assigned

Nov 15, 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

Other names 1

• Lisa Cloud Former name

Electronic endpoints 1

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.

• Mobius Healthcare Strategies LLC

  • Case Management Agency
  • Colorado Springs, CO
  • NPI 1225756299
  NPD Authorized official
• Cloud 9 Renovations LLC

  • Home Modifications Contractor
  • Colorado Springs, CO
  • NPI 1124746342
  NPD
• A Caring Heart Home Health LLC

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1356874937
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1063756146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3578 HARTSEL DR # E-335",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202103",
            "telephone_number": "949-813-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 KITTYHAWK RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201441",
            "telephone_number": "949-813-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERER",
        "first_name": "LISE",
        "credential": "COTA. NHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0000024",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "2214",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CO",
            "license": "NHA.0002857",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lketterer@hearthh.com",
            "affiliation": "Y",
            "affiliationName": "A Caring Heart Home Health LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2140 Hollow Brook Dr Ste 200",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809188401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CLOUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Soraya Francesca Keshmiri, O.D.
• Latosha Kessell, LPC
• Monica Balsano Kessler, SLP
• Lisa Kesting
• Jeffrey Ketcham, M.D.
• Malachi Jacob Ketterer
• Naomi Kettner
• Shannon Mandle Kettner, PHD, LSCSW
• Cassandra Keuma, MA, LPC PAHM
• Erin Keup, BCBA

• Occupational Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.