Shana Leigh Lisenbe, MOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

238716 Issued in TX

Practice address

7003 Woodway Dr
Suite 313
Waco, TX 76712-6170

Phone

(254) 399-6422

NPI assigned

Apr 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Shana L Selby Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1407090939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR",
            "address_2": "SUITE 313",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126170",
            "telephone_number": "254-399-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR",
            "address_2": "SUITE 313",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126170",
            "telephone_number": "254-399-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISENBE",
        "first_name": "SHANA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "238716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "SELBY",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "MOTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Molly Margaret Little, FNP-C
• Steven L Little, DDS
• Jessica Littlefield, M.S., CCC-SLP
• Allyson Littrell
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• Occupational Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.