Lisa Revell-Brewer, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0008786 Issued in FL

Practice address

1983 Hoot Owl Hill Loop
Tallahassee, FL 32317-9662

Phone

(850) 570-6209

NPI assigned

Apr 17, 2015

Last updated

Apr 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1063809994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 HOOT OWL HILL LOOP",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323179662",
            "telephone_number": "850-570-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 HOOT OWL HILL LOOP",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323179662",
            "telephone_number": "850-570-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELL-BREWER",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT0008786",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT0008786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oliver Reyes, DO

• Occupational Therapist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.