Lisa Anne Campagnari, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-006775 Issued in AZ

Practice address

2451 E Baseline Rd Ste 420
Gilbert, AZ 85234-2472

Phone

(480) 474-4173

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Four Peaks Therapy

  • Occupational Therapy Assistant
  • Mesa, AZ
  • NPI 1942065966
  NPD Authorized official
• Four Peaks Therapy

  • Occupational Therapist
  • Apache Junction, AZ
  • NPI 1215766951

  Occupational Therapy Assistant

  NPD

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1396238069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 E DALLAS ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076163",
            "telephone_number": "623-696-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 420",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342472",
            "telephone_number": "480-474-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNARI",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-006775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Rafael Camacho, MD
• Brent Clyde Cameron, N.D.
• Tamra Lee Cameron, CCC-SLP/SLPA/TSLP
• Monica Therese Camou, FNP
• Erin Lynn Camp, M.S. CCC-SLP
• Campbell Family Chiropractic LLC
• Amber Campbell
• Brooke Elizabeth Campbell
• David W Campbell, DC
• Henriette Lykke Habaek Campbell

• Occupational Therapy Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.