Lisa Dias
Individual provider Active NPI Occupational Therapy Assistant · Kennebunk, ME
NPI 1124426150 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1124426150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0842 (NH)
- Practice address
- 3 Brazier LN
Kennebunk, ME 04043-7095 - Phone
- (774) 991-1159
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0842 | NH | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | |||
| Occupational Therapy Assistant | 224Z00000X | 0842 | NH | Yes |
Addresses
Primary practice location
3 Brazier LN
Kennebunk, ME 04043-7095
Mailing address
358 Hare Rd
Milton, NH 03851-4716
Phone (774) 991-1159
Other practice location 1
151 Winthrop St
Rehoboth, MA 02769-2600
Phone (774) 991-1159
Other providers in Kennebunk, ME
- Anne Marie Dadura
- Kimberly Davis
- Elisabeth M. Delprete
- Jane M Desimone
- Ashley Desrochers
- Kathleen Elizabeth Dietz
- Dirigo Waystar LLC
- Megan Deidre Donohue
- Cynthia B. Doucette
- Dr. James Murray DDS, PA
All providers in Kennebunk, ME · Occupational Therapy Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.