Individual provider Active NPI

Lisa Marie Mohesky, ORT/L

  • Hand Occupational Therapist
  • Cumming, GA
National Provider Identifier
1376712760
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
2736 Issued in GA
Practice address
1100 Northside Forsyth Dr
Suite 340
Cumming, GA 30041-6012
Phone
(678) 341-6790
Fax
(678) 341-6791
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 2736 GA Primary

Addresses

Primary practice location

1100 Northside Forsyth Dr
Suite 340
Cumming, GA 30041-6012

Mailing address

1100 Northside Forsyth Dr
Suite 340
Cumming, GA 30041-6012
Phone (678) 341-6790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000304 GA Practitioner - Occupational Therapist in Private Practice 8426121641 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2736GAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Orthopaedic Clinic CurrentSince Mar 12, 2024 Accepting new patients
Peachtree Orthopaedic Clinic of Georgia, LLC CurrentSince Nov 4, 2024 Accepting new patients
Resurgens, LLC CurrentSince Jul 2, 2024 Accepting new patients
Peachtree Orthopaedic Clinic PA Hand CurrentSince Mar 12, 2024 Accepting new patients
Resurgens, LLC CurrentSince Jul 2, 2024 Accepting new patients
Meadows Hand and Physical Therapy Clinic PastSince Apr 1, 2013 Accepting new patients
Activcore Health Network LLC PastSince Apr 1, 2022 Accepting new patients

Locations

2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309

1524 River Pl
Ste 200
Braselton, GA 30517

2860 Ronald Reagan Blvd
Ste 300
Cumming, GA 30041
Phone (404) 355-0742

1100 Northside Forsyth Dr
Ste 340
Cumming, GA 30041
Phone (770) 886-8111

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

Organizations & group practices 7

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1376712760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NORTHSIDE FORSYTH DR",
            "address_2": "SUITE 340",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416012",
            "telephone_number": "678-341-6790",
            "fax_number": "678-341-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTHSIDE FORSYTH DR",
            "address_2": "SUITE 340",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416012",
            "telephone_number": "678-341-6790",
            "fax_number": "678-341-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHESKY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ORT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "2736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.

Verify at the official NPI Registry.