Active NPI
Lise Marie Therese Rasmussen
- Occupational Therapist
- Springfield, MA
National Provider Identifier
1669598991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6280
- Practice address
- 235 Chestnut St
Springfield, MA 01103-1100 - Phone
- (413) 276-0523
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 6280 | MA | Primary |
Addresses
Primary practice location
235 Chestnut St
Springfield, MA 01103-1100
Mailing address
122 Horne Way
Millbury, MA 01527-1961
Phone (508) 865-9965
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6280 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669598991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 HORNE WAY",
"city": "MILLBURY",
"state": "MA",
"postal_code": "015271961",
"telephone_number": "508-865-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 CHESTNUT ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031100",
"telephone_number": "413-276-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "LISE",
"middle_name": "MARIE THERESE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "6280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.