Active NPI
Lissette Lavetter
- Occupational Therapy Assistant
- Phoenix, AZ
National Provider Identifier
1558022541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 10631 S 51St St Ste 1
Phoenix, AZ 85044-5225 - Phone
- (480) 398-4280
- Fax
- (844) 526-2649
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
10631 S 51St St Ste 1
Phoenix, AZ 85044-5225
Mailing address
PO Box 50218
Phoenix, AZ 85076-0218
Phone (480) 398-4280
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lissette.lavetter@pillerchilddevelopment.com | Piller Child Development LLC |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piller Child Development LLC | Past | 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 and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Phoenix, AZ
- NPI 1497087621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1558022541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50218",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850760218",
"telephone_number": "480-398-4280",
"fax_number": "844-526-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10631 S 51ST ST STE 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850445225",
"telephone_number": "480-398-4280",
"fax_number": "844-526-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVETTER",
"first_name": "LISSETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lissette.lavetter@pillerchilddevelopment.com",
"affiliation": "Y",
"affiliationName": "Piller Child Development LLC",
"address_1": "10631 S 51st St Ste 1",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850445225",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.