Individual provider Active NPI

Lisa Shindore Taormina, MOT

  • Occupational Therapist
  • Pompano Beach, FL
National Provider Identifier
1336205772
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11014 Issued in FL
Practice address
1333 S Ocean Blvd Apt 714
Pompano Beach, FL 33062-6933
Phone
(561) 715-6242
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X OT11014 FL
Early Intervention Provider Agency 252Y00000X OT11014 FL
Occupational Therapist 225X00000X OT11014 FL Primary

Addresses

Primary practice location

1333 S Ocean Blvd Apt 714
Pompano Beach, FL 33062-6933

Mailing address

1333 S Ocean Blvd Apt 714
Pompano Beach, FL 33062-6933
Phone (561) 715-6242

Other identifiers 1

IdentifierTypeStateIssuer
017010100MedicaidFL

Other names 1

  • Mrs. Lisa Taormina Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT11014FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sobe Innovative Rehabilitation PLLC Occupational Therapist CurrentSince Dec 21, 2024 Accepting new patients
School Days Therapy Services LLC Developmental Therapist CurrentSince Apr 1, 2020 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

Organizations & group practices 2

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1336205772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S OCEAN BLVD APT 714",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330626933",
            "telephone_number": "561-715-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S OCEAN BLVD APT 714",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330626933",
            "telephone_number": "561-715-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAORMINA",
        "first_name": "LISA",
        "middle_name": "SHINDORE",
        "name_prefix": "Mrs.",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "OT11014",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "OT11014",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017010100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "TAORMINA",
            "prefix": "MRS.",
            "credential": "MOT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.