Lisa Pate Wursteisen, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.Z10436 Issued in LA

Practice address

2901 Ridgelake Dr
Suite 107
Metairie, LA 70002-4966

Phone

(504) 309-0868

Fax

(504) 309-0867

NPI assigned

Jul 18, 2012

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

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 and National Provider Directory roles.

• Southern Flex Rehabilitation & Consulting, LLC

  • Physical Therapist
  • Metairie, LA
  • NPI 1144559451

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1609121474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 RIDGELAKE DR",
            "address_2": "SUITE 107",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024966",
            "telephone_number": "504-309-0868",
            "fax_number": "504-309-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 RIDGELAKE DR",
            "address_2": "SUITE 107",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024966",
            "telephone_number": "504-309-0868",
            "fax_number": "504-309-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURSTEISEN",
        "first_name": "LISA",
        "middle_name": "PATE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.Z10436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyeemah Wright
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• Sarah Wroblewski, P-LPC, NCC, M.A,
• Ruth Wrubleski, SLP
• Wyatt Dental Group, LLC
• David Raymond Wyatt, BCO
• Lisa Wyatt, R.D.H.,B.S.,D.D.S.
• Kymbrehia Wynn
• Abigail Rose Wypyszinski

• Occupational Therapist in Metairie, LA
• Providers in Metairie, LA by specialty
• Occupational Therapist in Louisiana

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