Active NPI
Lisa Renee Waxman, OTR
- Specialist
- North Miami, FL
National Provider Identifier
1275554677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT 981
- Practice address
- 13290 Biscayne Bay Ter
North Miami, FL 33181-2230 - Phone
- (305) 899-9665
- Fax
- (305) 895-0015
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT 981 | FL | Primary |
Addresses
Primary practice location
13290 Biscayne Bay Ter
North Miami, FL 33181-2230
Mailing address
13290 Biscayne Bay Ter
North Miami, FL 33181-2230
Phone (305) 899-9665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041110001048 | FL | Practitioner - Occupational Therapist in Private Practice | 2668435579 | Practice locations: North Miami, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 981 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275554677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13290 BISCAYNE BAY TER",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812230",
"telephone_number": "305-899-9665",
"fax_number": "305-895-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13290 BISCAYNE BAY TER",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812230",
"telephone_number": "305-899-9665",
"fax_number": "305-895-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAXMAN",
"first_name": "LISA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "OT 981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- 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.