Individual provider Active NPI

Lisa B Weingartz, O.T.R

  • Occupational Therapist
  • Clinton Township, MI
National Provider Identifier
1578522983
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201000119 Issued in MI
Practice address
20554 Hall Rd
Clinton Township, MI 48038-5326
Phone
(586) 598-1247
Fax
(586) 598-1260
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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 5201000119 MI Primary

Addresses

Primary practice location

20554 Hall Rd
Clinton Township, MI 48038-5326

Mailing address

20554 Hall Rd
Clinton Township, MI 48038-5326
Phone (586) 598-1247

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
5201000119MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy and Fitness 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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1578522983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20554 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385326",
            "telephone_number": "586-598-1247",
            "fax_number": "586-598-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20554 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385326",
            "telephone_number": "586-598-1247",
            "fax_number": "586-598-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARTZ",
        "first_name": "LISA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "O.T.R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.