Lillian Ruisi, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT010027 Issued in GA

Practice address

500 Spring St SE
Gainesville, GA 30501-3773

Phone

(770) 615-7676

NPI assigned

Jan 29, 2024

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

• Mrs. Lillian Roxane - Ruisi Nistler Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1528820271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HARWOOD RD APT 1308",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305421252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPRING ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013773",
            "telephone_number": "770-615-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUISI",
        "first_name": "LILLIAN",
        "name_prefix": "Mrs.",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT010027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ClinicSource",
            "affiliation": "N",
            "address_1": "500 Spring St SE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "NISTLER",
            "middle_name": "ROXANE - RUISI",
            "prefix": "MRS.",
            "credential": "MSOT, OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Ruark, FNP
• Alison Charruf Ruch, M.D.
• Bridgette Ruch, AGACNP
• Natalia Rucker
• Shiesha Rucker
• Andres Camilo Ruiz, MD
• Keren Jahzeel Ruiz, RBT
• Brandon Runyan, M.D.
• Christa Lee Rush, PA-C
• Robert Tucker Rush, PT, DPT

• Occupational Therapist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.