Lisa Smith, DOT, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC015776 Issued in PA

Practice address

243 Raspberry Rd
Leola, PA 17540-2215

Phone

(717) 283-5917

NPI assigned

Aug 9, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Christy Malonzo Physical Therapist Inc. & Manjiri Dahdul Physical Ther

  dba Precision Rehabilitation

  • Neurology Physical Therapist
  • Long Beach, CA
  • NPI 1124064076
  NPD

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1083193270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 RASPBERRY RD",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175402215",
            "telephone_number": "717-283-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 RASPBERRY RD",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175402215",
            "telephone_number": "717-283-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 River Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087015288",
            "country_code": "US",
            "telephone_number": "888-400-7342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "credential": "DOT, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Roberts, MA, NCC
• Joel L Samitt, DO
• Michelle Sheaffer, LPC
• Simply Nutrition LLC
• Smile Squad Inc
• Jean Snyder, LPC
• Alison M Stanley, M.D.
• Steffys Garage Inc. (SGI Mobility)
• Julia Marie Stern, PTA
• Tricia Lee Subers, MS BSL BCBA

• Occupational Therapist in Leola, PA
• Providers in Leola, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.