Active NPI
Lisa Perri Dospassos, OTR
- Occupational Therapist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC008740
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019369560003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Fit Physical Therapy LLC | Current | Accepting new patients | |
| Allegretto Therapy Services, LLC | Current | Accepting new patients | |
| Elite Therapy Solutions, LLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Inc | Occupational Therapist | Current | Accepting new patients |
| Elite Therapy Solutions, LLC | Current | Accepting new patients | |
| Denise Marino | Past | 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.
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- NPI 1326092503
Occupational Therapist, PA
-
- Physical Therapist
- West Chester, PA
- NPI 1598346314
Occupational Therapist
-
- Physical Therapist
- Winchester, VA
- NPI 1225833726
-
- Multi-Specialty Clinic/Center
- Exton, PA
- NPI 1609238971
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.