Lisa Ann Purrenhage, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201006281 Issued in MI

Practice address

8200 S Saginaw St
Ste 200
Grand Blanc, MI 48439-1843

Phone

(810) 603-3841

Fax

(810) 603-3871

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235147471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31638 STRICKER DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480882935",
            "telephone_number": "586-415-9392",
            "fax_number": "586-415-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST",
            "address_2": "STE 200",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391843",
            "telephone_number": "810-603-3841",
            "fax_number": "810-603-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURRENHAGE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Occupational Therapist in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.