Lisa Burgess, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202004300 Issued in MI

Practice address

38777 6 Mile Rd Ste 209
Livonia, MI 48152-2660

Phone

(248) 762-6501

NPI assigned

Mar 17, 2016

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": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1114388196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22947 TUCK RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363458",
            "telephone_number": "248-762-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38777 6 MILE RD STE 209",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522660",
            "telephone_number": "248-762-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LISA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202004300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Mack Bumford, D.D.S.
• Beth Bunn, LCSW, LMSW, CCMSW
• Kyara Burch
• Kathleen Burcusel
• Heather Burger
• Sandra Burgett
• Richard Burk III
• Erica Burke
• Emily Eileen Burkhart, PA-C
• Latasha Burleigh, LLBSW

• Occupational Therapy Assistant in Livonia, MI
• Providers in Livonia, 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 Mar 17, 2016; 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.