Individual provider Active NPI

Lysa E Shocket, OT

  • Hand Occupational Therapist
  • Bryn Mawr, PA
National Provider Identifier
1447448808
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC011065 Issued in PA
Practice address
101 S Bryn Mawr Ave
Suite 300
Bryn Mawr, PA 19010-3120
Phone
(610) 525-1000
Fax
(610) 525-1001
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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 OC011065 PA Primary

Addresses

Primary practice location

101 S Bryn Mawr Ave
Suite 300
Bryn Mawr, PA 19010-3120

Mailing address

101 S Bryn Mawr Ave
Suite 300
Bryn Mawr, PA 19010-3120
Phone (610) 525-1000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC011065PAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mote Wellness & Rehab Inc PastSince Jun 1, 2009 Accepting new patients
Palm Beach Aquatics & Physical Therapy Inc PastSince Nov 1, 2015 Accepting new patients

Organizations & group practices 2

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1447448808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE",
            "address_2": "SUITE 300",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103120",
            "telephone_number": "610-525-1000",
            "fax_number": "610-525-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE",
            "address_2": "SUITE 300",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103120",
            "telephone_number": "610-525-1000",
            "fax_number": "610-525-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKET",
        "first_name": "LYSA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC011065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.