Lise Gervais, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6044 Issued in MA

Practice address

109 Rhode Island Rd
Shriver
Lakeville, MA 02347-1370

Phone

(508) 923-6032

Fax

(508) 923-6361

NPI assigned

Dec 15, 2005

Last updated

Oct 11, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shriver Clinical Services Corporation

  • Internal Medicine Physician
  • Wakefield, MA
  • NPI 1225014616
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791676800000",
    "number": "1497731186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GEORGE WASHINGTON BLVD",
            "address_2": "UNIT 410",
            "city": "HULL",
            "state": "MA",
            "postal_code": "020453000",
            "telephone_number": "508-923-6032",
            "fax_number": "508-923-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RHODE ISLAND RD",
            "address_2": "SHRIVER",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471370",
            "telephone_number": "508-923-6032",
            "fax_number": "508-923-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVAIS",
        "first_name": "LISE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "6044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Gagnon, MD
• Carolina Gapud, MD
• Firmina V. P. F. Garcia, MT
• Anne M Gaudette, RN
• Linda Geary, MA
• Sabrina Rose Godinho
• Sydnie Gomes
• Alexandra Marie Goodwin
• Carla Goodwin, PH.D.
• Paul Gould, FNP

• Occupational Therapist in Lakeville, MA
• Providers in Lakeville, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2026; 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.