Active NPI
Lisa Kern, OT
- Occupational Therapist
- Enfield, CT
National Provider Identifier
1508360454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9951
- Practice address
- 1077 Enfield St
Enfield, CT 06082-3641 - Phone
- (860) 253-5031
- Fax
- (860) 741-4031
- NPI assigned
- Mar 23, 2018
- 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 | 9951 | MA | Primary |
Addresses
Primary practice location
1077 Enfield St
Enfield, CT 06082-3641
Mailing address
84 Main St
Chicopee, MA 01020-1838
Phone (413) 331-5660
Other practice location 1
171 Pine St
Holyoke, MA 01040-4065
Phone (413) 437-7488
Other practice location 2
84 Main St
Chicopee, MA 01020-1838
Phone (413) 331-5660
Other practice location 3
95 Frank B Murray St
Springfield, MA 01103-1106
Phone (413) 301-6019
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544659200000",
"number": "1508360454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 MAIN ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201838",
"telephone_number": "413-331-5660",
"fax_number": "413-331-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 ENFIELD ST",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823641",
"telephone_number": "860-253-5031",
"fax_number": "860-741-4031"
}
],
"practiceLocations": [
{
"address_1": "171 Pine St",
"address_purpose": "LOCATION",
"city": "Holyoke",
"state": "MA",
"postal_code": "010404065",
"country_code": "US",
"telephone_number": "413-437-7488",
"fax_number": "413-322-9374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "84 Main St",
"address_purpose": "LOCATION",
"city": "Chicopee",
"state": "MA",
"postal_code": "010201838",
"country_code": "US",
"telephone_number": "413-331-5660",
"fax_number": "413-331-5661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95 Frank B Murray St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011031106",
"country_code": "US",
"telephone_number": "413-301-6019",
"fax_number": "413-363-2857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERN",
"first_name": "LISA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2018-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "9951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.