Individual provider Active NPI

Lisa Marlene Thompson-Goertz, OTR/L

  • Neurorehabilitation Occupational Therapist
  • Ocala, FL
National Provider Identifier
1073077343
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
OT16797 Issued in FL
Practice address
9280 SW 81St CT
Ocala, FL 34481-7848
Phone
(352) 509-5201
NPI assigned
Jan 30, 2019
Last updated
Jan 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT16797 FL
Neurorehabilitation Occupational Therapist 225XN1300X OT16797 FL Primary

Addresses

Primary practice location

9280 SW 81St CT
Ocala, FL 34481-7848

Mailing address

2844 SE 6TH St
Ocala, FL 34471-2775
Phone (352) 207-2534

Other practice location 1

2844 SE 6th St
Ocala, FL 34471-2775
Phone (352) 207-2534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127002686 FL Practitioner - Occupational Therapist in Private Practice 7911311303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Habit Project Physical and Occupational TherapyGroup PAC ID 2567876949, 6 clinicians

Practice addresses (Care Compare)

2844 SE 6TH St
Ocala, FL 34471-2775
Phone (352) 207-2534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT16797FLMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Habit Project Physical and Occupational Therapy Occupational Therapist CurrentSince Dec 31, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1073077343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 SE 6TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712775",
            "telephone_number": "352-207-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 SW 81ST CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817848",
            "telephone_number": "352-509-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2844 SE 6th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344712775",
            "country_code": "US",
            "telephone_number": "352-207-2534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON-GOERTZ",
        "first_name": "LISA",
        "middle_name": "MARLENE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16797",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "FL",
            "license": "OT16797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.