Active NPI
Lisa E Towery, OTR-L
- Pediatric Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1336350602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 14693
- Practice address
- 6373 Autumn Berry Cir
Jacksonville, FL 32258-8416 - Phone
- (049) 079-4629
- NPI assigned
- May 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT14693 | FL | |
| Pediatric Occupational Therapist | 225XP0200X | OT 14693 | FL | Primary |
Addresses
Primary practice location
6373 Autumn Berry Cir
Jacksonville, FL 32258-8416
Mailing address
6373 Autumn Berry Cir
Jacksonville, FL 32258-8416
Phone (904) 907-9462
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT14693 | FL | MD | Occupational Therapist |
| OT 14693 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1336350602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6373 AUTUMN BERRY CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322588416",
"telephone_number": "904-907-9462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6373 AUTUMN BERRY CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322588416",
"telephone_number": "049-079-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWERY",
"first_name": "LISA",
"middle_name": "E",
"credential": "OTR-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT14693",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT 14693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.