Lisa Sandstrom LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103330 Issued in MN

Legal business name

LISA SANDSTROM LLC

Practice address

202 Greeley St N
Stillwater, MN 55082-4711

Phone

(651) 238-0435

Fax

(651) 439-9434

NPI assigned

Jan 30, 2014

Organization subpart

No

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

Authorized official

Name

Lisa Sandstrom

Title

Occupational Therapist

Phone

(651) 238-0435

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Still Waters Occupational Therapy Doing business as

Locations

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1467875294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GREELEY ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824711",
            "telephone_number": "651-238-0435",
            "fax_number": "651-439-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GREELEY ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824711",
            "telephone_number": "651-238-0435",
            "fax_number": "651-439-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA SANDSTROM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "SANDSTROM",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "651-238-0435"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "670000488",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Still Waters Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Light Therapy Products
• Marbel Lih
• Emily Ann Lindquist, PA-C
• Lisa C. Lindquist, M.S. CCC-SLP
• Kathryn Joesphine Linhoff
• Alexandra Mae Literski, OD
• Patricia LB Lockyear, PSYD LP
• Matthew James Logan, MD
• Polly Jo Courtney Logan, DDS
• Mara Logerquist, M.S., CF-SLP

• Occupational Therapist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.