Lisa Fleming Brenneman

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC002239L Issued in PA

Practice address

3700 Vartan Way
Harrisburg, PA 17110-9441

Phone

(717) 541-9620

NPI assigned

Feb 16, 2007

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

Other identifiers 1

Other names 1

• Lisa Elaine Fleming Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1235273871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 WESTOVER DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502341",
            "telephone_number": "717-790-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 VARTAN WAY",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109441",
            "telephone_number": "717-541-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "LISA",
        "middle_name": "FLEMING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC002239L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101211076 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FLEMING",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maximilian Braun III, MD
• Wendy Elizabeth Braund, MD, MPH, MSED
• Tanya Brautigam, FNP
• Elizabeth Brehman, DO
• Lisa C Brenize, PA-C
• Marcy Brenner, MS LPC
• Rebecca M Brenner, PA-C
• Geoffrey John Brent, M.D.
• Brescia Orthopedics (F&A Medical)
• Jennifer Lynn Bretz, PHARMD

• Occupational Therapist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.