Individual provider Active NPI

Lisa Perri Dospassos, OTR

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1104948488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC008740 Issued in PA
Practice address
3975 Conshohocken Ave
Philadelphia, PA 19131-5426
Phone
(215) 879-1000
Fax
(215) 879-3912
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC008740 PA Primary

Addresses

Primary practice location

3975 Conshohocken Ave
Philadelphia, PA 19131-5426

Mailing address

504 Ash Rd
Coatesville, PA 19320-1108
Phone (610) 476-7459

Other identifiers 1

IdentifierTypeStateIssuer
0019369560003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191121001805 PA Practitioner - Occupational Therapist in Private Practice 7315379872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Fit Physical Therapy LLCGroup PAC ID 8022421312, 3 clinicians
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

206 N Jennersville Rd
Suite 100
West Grove, PA 19390-9326
Phone (484) 677-8295

470 N Lewis Rd
Bon Homie LTD Adult Day Center
Limerick, PA 19468-1511
Phone (610) 792-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Fit Physical Therapy LLC CurrentSince Apr 19, 2022 Accepting new patients
Allegretto Therapy Services, LLC CurrentSince Nov 1, 2019 Accepting new patients
Elite Therapy Solutions, LLC Occupational Therapist CurrentSince Apr 7, 2024 Accepting new patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Dec 1, 2025 Accepting new patients
Elite Therapy Solutions, LLC CurrentSince Apr 7, 2024 Accepting new patients
Denise Marino PastSince Nov 1, 2019 Accepting new patients

Locations

245 E Chestnut St
Coatesville, PA 19320
Phone (610) 383-0825

983A E Lancaster Ave
Downingtown, PA 19335
Phone (610) 594-2060

694 Wharton Blvd
Exton, PA 19341
Phone (484) 459-7154

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

438 Lincoln Way E
New Oxford, PA 17350
Phone (717) 479-5216

206 N Jennersville Rd
Ste 100
West Grove, PA 19390
Phone (484) 667-8295

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104948488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ASH RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201108",
            "telephone_number": "610-476-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 CONSHOHOCKEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315426",
            "telephone_number": "215-879-1000",
            "fax_number": "215-879-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSPASSOS",
        "first_name": "LISA",
        "middle_name": "PERRI",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019369560003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.