Lisa Miserendino, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

21630 N 19TH Ave
Phoenix, AZ 85027-2719

Phone

(415) 977-6751

NPI assigned

Aug 3, 2015

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

Other names 1

• Lisa Allen Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Solace Pediatric Healthcare Therapy Services Az, Inc.

  dba Care Options For Kids

  • Physical Therapist
  • Tempe, AZ
  • NPI 1669533105

  Occupational Therapist

  Medicare reassignment NPD
• Theraplay4Kidz, LLC

  dba Arizona Autism

  • Occupational Therapist
  • Scottsdale, AZ
  • NPI 1750727798
  Medicare reassignment NPD
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Payson, AZ
  • NPI 1497222632
  NPD (past)
• Pioneer Pet, LLC

  • Diagnostic Radiology Physician
  • Tempe, AZ
  • NPI 1265401996
  NPD (past)
• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249
  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1063898062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40850 N. HEARST DRIVE",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "85086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272719",
            "telephone_number": "415-977-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 E Shea Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85028",
            "country_code": "US",
            "telephone_number": "412-977-6751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISERENDINO",
        "first_name": "LISA",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Mirzai, D.O.
• Maryann Mirzakandov
• Nicole C Mis, FNP
• Larry L Mischke, RN
• Jamie Lee Misencik, DNP, CPNP-AC
• Misha Faustina, M.D. PC (mishafaustinamd)
• Kenneth J Mishark, MD
• Rick E Mishler, M.D.
• Kiran Mishra, MD
• Shrutisudha Mishra, MD

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.