Active NPI
Robert G Lisson, O.T.
- Occupational Therapist
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT8395
- Practice address
- 1910 Buford Blvd
Tallahassee, FL 32308-4667 - Phone
- (850) 459-7126
- Fax
- (850) 597-7062
- NPI assigned
- Apr 3, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT8395 | FL | Primary |
Addresses
Primary practice location
1910 Buford Blvd
Tallahassee, FL 32308-4667
Mailing address
7877 Maclean Rd
Tallahassee, FL 32312-9052
Phone (850) 459-7126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT8395 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1060 Clarity Pointe Dr
Tallahassee, FL 32308-6022
Phone (775) 367-6937
12110 Morris Bridge Rd
Temple Terrace, FL 33637-1924
Phone (850) 380-4657
208 E Tharpe St
Tallahassee, FL 32303-5551
Phone (775) 367-6937
2507 Old Saint Augustine Rd
Tallahassee, FL 32301-6209
Phone (775) 367-6937
2601 Crestline Rd
Tallahassee, FL 32308-5995
Phone (850) 380-4657
3255 Vanderbilt Beach Rd
Naples, FL 34109-3400
Phone (850) 380-4657
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next PT Group Florida, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1516 Highway 138
Ste 1C
Wall, NJ 07719
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": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1346635547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7877 MACLEAN RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323129052",
"telephone_number": "850-459-7126",
"fax_number": "850-597-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 BUFORD BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084667",
"telephone_number": "850-459-7126",
"fax_number": "850-597-7062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISSON",
"first_name": "ROBERT",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-03",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT8395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OT8395",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.