Lisa Maria Dust, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102212 Issued in MN

Practice address

Unity Hospital
550 Osborne Road
Fridley, MN 55421

Phone

(763) 236-3000

NPI assigned

May 24, 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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• National Dizzy & Balance Center,LTD.

  • Physical Medicine & Rehabilitation Physician
  • Bloomington, MN
  • NPI 1023021938
  Medicare reassignment NPD

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235340134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 W 66TH ST APT 14",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231967",
            "telephone_number": "612-798-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNITY HOSPITAL",
            "address_2": "550 OSBORNE ROAD",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "763-236-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUST",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Petronack & Associates Optometrists Inc
• Brianna Lynn Dreyer
• Jack H Duffy
• Christine Dumke, M.S.W. L.G.S.W.
• Brittany Marie Dusek Bertogliat, DPT
• Jessica Dworak, PT, DPT
• Zane Dye, APRN, FNP-C
• Judy A. Easley, M.D.
• Ebn Pediatric Occupational Therapy Services
• Farhan Egal

• Occupational Therapist in Fridley, MN
• Providers in Fridley, MN by specialty
• Occupational Therapist in Minnesota

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

Verify at the official NPI Registry.