Lisa Marie Heisler, OTR, CAPS, CDCS
Individual provider Active NPI Occupational Therapist · Newton, WI
NPI 1528073913 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1528073913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 251-026 (WI)
- Practice address
- 8614 Center Rd
Newton, WI 53063-9603 - Phone
- (920) 726-4832
- Fax
- (920) 726-4833
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251-026 | WI | MD | Occupational Therapist |
| 251 | WI | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 251-026 | WI | Yes |
Addresses
Primary practice location
8614 Center Rd
Newton, WI 53063-9603
Mailing address
8614 Center Rd
Newton, WI 53063-9603
Phone (920) 726-4832
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40680400 | Medicaid | WI |
Other providers in Newton, WI
All providers in Newton, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.