Individual provider Active NPI

Lisa Marie Geyer, COTA, LMT

  • Occupational Therapy Assistant
  • Pensacola, FL
National Provider Identifier
1356097612
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA9992 Issued in FL
Practice address
6982 Pine Forest Rd
Pensacola, FL 32526-8909
Phone
(814) 591-0586
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA9992 FL Primary

Addresses

Primary practice location

6982 Pine Forest Rd
Pensacola, FL 32526-8909

Mailing address

6552 Lark Ave
Milton, FL 32570-3876
Phone (814) 591-0586

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL laptop
CONNECT URL computer

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

LicenseStateTypeSpecialty
OTA9992FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1356097612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 LARK AVE",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325703876",
            "telephone_number": "814-591-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6982 PINE FOREST RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325268909",
            "telephone_number": "814-591-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "COTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA9992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "6982 Pine Forest Rd",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325268909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "6982 Pine Forest Rd",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325268909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.