NPIMap

Individual provider Active NPI

Christine Lishok, MS OTRL

  • Occupational Therapist
  • Factoryville, PA
National Provider Identifier
1487780953
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC009944 Issued in PA
Practice address
1068 Marshbrook Rd
Factoryville, PA 18419-9608
Phone
(570) 510-0516
NPI assigned
Feb 26, 2007
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC009944 PA Primary
Pediatric Occupational Therapist 225XP0200X 0138991 NY
Pediatric Occupational Therapist 225XP0200X OC009944 PA

Addresses

Primary practice location

1068 Marshbrook Rd
Factoryville, PA 18419-9608

Mailing address

RR 2 Box 2295
Factoryville, PA 18419-9628
Phone (570) 222-5687

Other names 1

  • Christine Sodak, Major, Argust Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC009944PAMDOccupational Therapist
0138991NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tier Occupational Therapy Services, PC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1487780953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2295",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184199628",
            "telephone_number": "570-222-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 MARSHBROOK RD",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184199608",
            "telephone_number": "570-510-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISHOK",
        "first_name": "CHRISTINE",
        "credential": "MS OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009944",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "0138991",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC009944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SODAK, MAJOR, ARGUST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Factoryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.