Lisa Ann Olsen, OTD, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

1940 Issued in CA

Practice address

52 Wild Horse
Irvine, CA 92602-0930

Phone

(714) 504-8929

Fax

(714) 389-0483

NPI assigned

Jun 3, 2011

Last updated

Aug 1, 2016By the provider in NPPES

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

• Miss Lisa Ann Zeutzius Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1437443728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WILD HORSE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020207",
            "telephone_number": "714-504-8929",
            "fax_number": "714-389-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WILD HORSE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020930",
            "telephone_number": "714-504-8929",
            "fax_number": "714-389-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ZEUTZIUS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sofie Angela Olmos
• Celina Olona
• Jessica Oloriz
• Jacob Olsen, NURSE PRACTITIONER
• Jeffrey D. Olsen, M.D.
• Madeleine Olsen
• Megan Olsen, LCSW
• Ashley Olson
• Christine Olson, M.A.
• Lyndsey Olson, MS, CCC-SLP

• Specialist in Irvine, CA
• Providers in Irvine, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.