Lisa Timrick, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

13707 Issued in FL

Practice address

760 North Dr
Melbourne, FL 32934-9216

Phone

(321) 254-4254

NPI assigned

Jul 28, 2015

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

Other identifiers 1

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1457736803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 SQUIRES DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327961050",
            "telephone_number": "708-638-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NORTH DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329349216",
            "telephone_number": "321-254-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMRICK",
        "first_name": "LISA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "13707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13707",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Lynn Tieu, MD
• Kenneth K Tieu, M.D.
• Yaphet Tilahun, M.D.
• Alycia Tillman, M.S. CCC-SLP
• Deborah Timm
• Delores Anne Tinelli-Thompson, MS
• Sarah Tippit, LMFT
• Yoaurea Nisse Tirado Cantres
• Jennifer Jill Tite, P.A.
• Cynthia Lee Titus, A.R.N.P.

• Occupational Therapy Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.