Active NPI
Lisa Mrsny, OTR/L, PAM
- Occupational Therapist
- San Bruno, CA
National Provider Identifier
1679181960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 169000
- Practice address
- 890 El Camino Real
San Bruno, CA 94066-3137 - Phone
- (650) 922-0344
- NPI assigned
- Jul 22, 2020
- 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 Therapist | 225X00000X | 169000 | CA | Primary |
Addresses
Primary practice location
890 El Camino Real
San Bruno, CA 94066-3137
Mailing address
890 El Camino Real
San Bruno, CA 94066-3137
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
| License | State | Type | Specialty |
|---|---|---|---|
| 169000 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1679181960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 EL CAMINO REAL",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 EL CAMINO REAL",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663137",
"telephone_number": "650-922-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MRSNY",
"first_name": "LISA",
"credential": "OTR/L, PAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "169000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.