Isabelle Marie Laposha, OTD, OTR/L

Individual provider Active NPI Occupational Therapist · Town and Country, MO

NPI 1366076697 · NPPES record last updated Jul 14, 2020

Key facts

NPI
1366076697
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2020006299 (MO)
Practice address
14360 S Outer 40 Rd
Town and Country, MO 63017-5710
Phone
(314) 434-5410
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2020006299MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Park Early Intervention Center Past
since Mar 12, 2023
Accepting new patients
Mid-America Therapy Services, LLC Past
since Mar 1, 2020
Accepting new patients
Mid-America Therapy Services, LLC Occupational Therapist Past
since Mar 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2020006299 MO Yes

Addresses

Primary practice location

14360 S Outer 40 Rd
Town and Country, MO 63017-5710

Mailing address

911 Castle Pines Dr
Ballwin, MO 63021-4475
Phone (314) 852-4227

Other practice location 1

16375 Pierside Ln
Wildwood, MO 63040-1600
Phone (636) 227-2330

Other providers in Town and Country, MO

All providers in Town and Country, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.