Active NPI
Lisa Burraston, OTR/L
- Occupational Therapist
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4949210-4201
- Practice address
- 5121 Cottonwood St
Murray, UT 84107-5701 - Phone
- (801) 507-2001
- NPI assigned
- Nov 24, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4949210-4201 | UT | Primary |
Addresses
Primary practice location
5121 Cottonwood St
Murray, UT 84107-5701
Mailing address
9373 S Schmidt Cir
West Jordan, UT 84088-8778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5373 W Lake Park Blvd
West Valley City, UT 84120-8208
Phone (801) 902-7940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4949210-4201 | UT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
5373 W Lake Park Blvd
West Valley City, UT 84120
Phone (801) 902-7940
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.
-
- Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033822085
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410048000000",
"number": "1497057475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9373 S SCHMIDT CIR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 COTTONWOOD ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075701",
"telephone_number": "801-507-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRASTON",
"first_name": "LISA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-24",
"last_updated": "2014-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "4949210-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.