Active NPI
Lisa Lucarelli
- Occupational Therapist
- Jackson, NJ
National Provider Identifier
1427889286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00073100
- Practice address
- 19 Sawgrass St
Jackson, NJ 08527-4023 - Phone
- (732) 299-1138
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00073100 | NJ | Primary |
Addresses
Primary practice location
19 Sawgrass St
Jackson, NJ 08527-4023
Mailing address
19 Sawgrass St
Jackson, NJ 08527-4023
Phone (732) 299-1138
Other practice location 1
18326 Gulf Ranch Pl
Bradenton, FL 34211-5726
Phone (732) 299-1138
Other names 1
- Lisa Lucarelli-Bisogni
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00073100 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1427889286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SAWGRASS ST",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274023",
"telephone_number": "732-299-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SAWGRASS ST",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274023",
"telephone_number": "732-299-1138"
}
],
"practiceLocations": [
{
"address_1": "18326 Gulf Ranch Pl",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342115726",
"country_code": "US",
"telephone_number": "732-299-1138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCARELLI",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00073100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "LUCARELLI-BISOGNI",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.