Active NPI
Lisa Ann Cummings, OTR
- Pediatric Occupational Therapist
- Mission Viejo, CA
National Provider Identifier
1487881157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 6486
- Practice address
- 26651 Avenida Deseo
Mission Viejo, CA 92691-4301 - Phone
- (949) 458-5709
- NPI assigned
- Jun 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 6486 | CA | Primary |
Addresses
Primary practice location
26651 Avenida Deseo
Mission Viejo, CA 92691-4301
Mailing address
26651 Avenida Deseo
Mission Viejo, CA 92691-4301
Phone (949) 458-5709
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6486 | CA | MD | Physical Therapist |
| OT 6486 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Orange County | Current | Accepting new patients | |
| Pediatric Subspecialty Faculty, Inc. | Past | Accepting new patients |
Locations
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
Dept LA 21333
Pasadena, CA 91185
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.
-
- Pediatrics Physician
- Orange, CA
- NPI 1275975104
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1487881157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26651 AVENIDA DESEO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926914301",
"telephone_number": "949-458-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26651 AVENIDA DESEO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926914301",
"telephone_number": "949-458-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-19",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT 6486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.