Active NPI
Lisa P. Fass, OTR/L
- Occupational Therapist
- Framingham, MA
National Provider Identifier
1104066927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3410
- Practice address
- 19 Blackberry LN
Framingham, MA 01701-3710 - Phone
- (508) 877-6461
- Fax
- (508) 877-8468
- NPI assigned
- Mar 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3410 | MA | Primary |
Addresses
Primary practice location
19 Blackberry LN
Framingham, MA 01701-3710
Mailing address
19 Blackberry LN
Framingham, MA 01701-3710
Phone (508) 877-6461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3410 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1104066927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BLACKBERRY LN",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017013710",
"telephone_number": "508-877-6461",
"fax_number": "508-877-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BLACKBERRY LN",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017013710",
"telephone_number": "508-877-6461",
"fax_number": "508-877-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASS",
"first_name": "LISA",
"middle_name": "P.",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "3410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.