Lisa Christine Hearley, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202006734 Issued in MI

Practice address

17200 E 10 Mile Rd
Suite 135
Eastpointe, MI 48021-3355

Phone

(586) 279-3250

NPI assigned

Jul 26, 2009

Last updated

Dec 15, 2011By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1093945982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD",
            "address_2": "SUITE 135",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213355",
            "telephone_number": "586-279-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 E 10 MILE RD",
            "address_2": "SUITE 135",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213355",
            "telephone_number": "586-279-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARLEY",
        "first_name": "LISA",
        "middle_name": "CHRISTINE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-26",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202006734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D'Andra Latrice Hawkins, MEDICAL ASSISTANT
• Hcmsd
• Healing Everyone's Low Points
• Healing Matters
• Health One Medical Center, Eastpointe LLC (Eastpointe Pediatrics)
• Heart to Heart Heathcare
• Natalie Renee Hemingway, OTR
• Danielle Evette Henderson, BS
• Henry Ford Health System (Greenfield Health Systems)
• Mynhia Her

• Occupational Therapy Assistant in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.