Individual provider Active NPI

Liza Kerstetter, MSOTR/L

  • Occupational Therapist
  • Harrisburg, PA
National Provider Identifier
1306284013
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1901 N 5TH St
Harrisburg, PA 17102-1510
Phone
(717) 439-2859
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X PA Primary

Addresses

Primary practice location

1901 N 5TH St
Harrisburg, PA 17102-1510

Mailing address

341 Nelson Ter
Millersburg, PA 17061-2420
Phone (717) 439-2859

Other practice location 1

990 Medical Rd
Millersburg, PA 17061-1235
Phone (717) 692-4751

Other practice location 2

341 Nelson Ter
Millersburg, PA 17061-2420
Phone (717) 439-2859

Other identifiers 1

IdentifierTypeStateIssuer
OC012884OtherPAOT LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL MILLERSBURG Health Information Exchange (HIE)
Other URL MILLERSBURG Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225000754 PA Practitioner - Occupational Therapist in Private Practice 8729508452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cip Rehabilitation IncGroup PAC ID 4789932104, 46 clinicians

Practice addresses (Care Compare)

64 Ridgway Dr
Suite 1
Dallas, PA 18612-9263
Phone (570) 255-4578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cip Rehabilitation Inc Occupational Therapist CurrentSince Dec 22, 2024 Accepting new patients

Locations

64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1306284013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 NELSON TER",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170612420",
            "telephone_number": "717-439-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N 5TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171021510",
            "telephone_number": "717-439-2859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Medical Rd",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "PA",
            "postal_code": "170611235",
            "country_code": "US",
            "telephone_number": "717-692-4751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 Nelson Ter",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "PA",
            "postal_code": "170612420",
            "country_code": "US",
            "telephone_number": "717-439-2859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSTETTER",
        "first_name": "LIZA",
        "name_prefix": "Mrs.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OC012884",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MILLERSBURG",
            "affiliation": "N",
            "endpointDescription": "Healthcare",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "990 Medical Rd",
            "city": "Millersburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170611235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MILLERSBURG",
            "affiliation": "N",
            "endpointDescription": "Healthcare",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Healthcare",
            "address_1": "990 Medical Rd",
            "city": "Millersburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170611235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.