Lisa H Wister, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056007137 Issued in IL

Practice address

923 S Humphrey Ave
Oak Park, IL 60304-1720

Phone

(773) 230-3365

Fax

(708) 383-2713

NPI assigned

Sep 3, 2008

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

Other names 1

• Lisa H Katzman Former name

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.

• Lisa H Wister, Inc

  • Pediatric Occupational Therapist
  • Oak Park, IL
  • NPI 1992213417
  NPD (past) Authorized official
• Liberty Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Chicago, IL
  • NPI 1710930383
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1528216561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 S HUMPHREY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041720",
            "telephone_number": "773-230-3365",
            "fax_number": "708-383-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 S HUMPHREY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041720",
            "telephone_number": "773-230-3365",
            "fax_number": "708-383-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISTER",
        "first_name": "LISA",
        "middle_name": "H",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KATZMAN",
            "middle_name": "H",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antina Winters
• Julia Wipf, DPT
• Leah Wisard
• Wisdom for the Journey, LLC
• Wesley Charles Wise, DDS
• With Open Arms
• Mary Ellen Withers, LCSW, LISW
• Heather Witthoff, MSW, LCSW
• Andrew Wojda, LCSW
• Wolff Clinical Group PLLC

• Occupational Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.