Individual provider Active NPI

Lisa Shawn Good, OT

  • Occupational Therapist
  • Gastonia, NC
National Provider Identifier
1326223769
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15570 Issued in NC
Practice address
870 Summit Crossing PL
Gastonia, NC 28054-2192
Phone
(704) 671-1860
NPI assigned
Jan 3, 2008
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 15570 NC Primary

Addresses

Primary practice location

870 Summit Crossing PL
Gastonia, NC 28054-2192

Mailing address

PO Box 601791
Charlotte, NC 28260-1791

Other practice location 1

706 Summit Crossing Pl
Gastonia, NC 28054-2175
Phone (704) 323-2000

Other names 1

  • Lisa Shawn Rosenberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150916003683 NC Practitioner - Occupational Therapist in Private Practice 3577870930 Reassigns benefits to 2 organizations
I20190826001773 SC Practitioner - Occupational Therapist in Private Practice 3577870930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15570NCMDMental Health Counselor
4476SCMDChiropractor
9645NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina, PA CurrentSince Mar 14, 2016 Accepting new patients
Orthocarolina Occupational Therapist CurrentSince Jun 18, 2019 Accepting new patients
Orthocarolina Occupational Therapist CurrentSince Mar 14, 2016 Accepting new patients
Ayrsley Town Rehabilitation, LLC CurrentSince Jul 1, 2015 Accepting new patients
Foundation Health Systems LLC Occupational Therapist Past Accepting new patients

Locations

540 Mount Holly Medical Pkwy
Belmont, NC 28012
Phone (704) 323-3337

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

870 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 671-1860

601 Sutton Rd S
Ste 101
Fort Mill, SC 29715
Phone (803) 328-6306

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1326223769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SUMMIT CROSSING PL",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542192",
            "telephone_number": "704-671-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Summit Crossing Pl",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542175",
            "country_code": "US",
            "telephone_number": "704-323-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOD",
        "first_name": "LISA",
        "middle_name": "SHAWN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ROSENBERG",
            "middle_name": "SHAWN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.