Tara Lisewski

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

025430 Issued in NY

Practice address

2 Munssee CT
Stony Point, NY 10980-3440

Phone

(845) 802-1023

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1508450164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MUNSSEE CT",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109803440",
            "telephone_number": "845-802-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MUNSSEE CT",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109803440",
            "telephone_number": "845-802-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISEWSKI",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Fredric Leichter, D.C.
• Yelisa Lemus
• Nicole V Leung, R.PH.
• Angelic Marie Levy, CCC-SLP
• Deirdre Ellen Lisewski, COTA
• Cherryl Plaza Logan, PT
• James D Lupi, D.C.
• Hailey N Mancuso
• Marianne K. Ansel Speech Pathology PC (MJM Speech Therapy Services)
• Joanne Ryan Martin, NP

• Occupational Therapist in Stony Point, NY
• Providers in Stony Point, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.