Individual provider Active NPI

Lisa Akemi Pierson, OTR

  • Occupational Therapist
  • Ventura, CA
National Provider Identifier
1548521669
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2840 Issued in CA
Practice address
4475 Dupont CT Ste 9
Ventura, CA 93003-7745
Phone
(805) 477-0909
Fax
(805) 856-2217
NPI assigned
Jun 5, 2012
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2840 CA Primary

Addresses

Primary practice location

4475 Dupont CT Ste 9
Ventura, CA 93003-7745

Mailing address

4475 Dupont CT Ste 9
Ventura, CA 93003-7745
Phone (805) 477-0909

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

State licenses

LicenseStateTypeSpecialty
2840CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennings Physical Therapy, a Professional Corporation PastSince Oct 12, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1548521669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 DUPONT CT STE 9",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037745",
            "telephone_number": "805-477-0909",
            "fax_number": "805-856-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 DUPONT CT STE 9",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037745",
            "telephone_number": "805-477-0909",
            "fax_number": "805-856-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "LISA",
        "middle_name": "AKEMI",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.