Lisa Renee Addington, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004153-1 Issued in NY

Practice address

1550 Empire Blvd
Webster, NY 14580-2104

Phone

(585) 922-2284

NPI assigned

Oct 2, 2007

Last updated

Oct 2, 2007By the provider in NPPES

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

• Miss Lisa Renee Wenzel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1649467762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "address_2": "3307 ONEIDA STREET",
            "city": "CHADWICKS",
            "state": "NY",
            "postal_code": "133190332",
            "telephone_number": "315-794-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802104",
            "telephone_number": "585-922-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDINGTON",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004153-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WENZEL",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Webster, NY
• Providers in Webster, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.