Lisa M Cooseman, OTRL, MS

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2000161764 Issued in MO

Practice address

324 Jungermann Rd.
Saint Peters, MO 63376

Phone

(636) 928-5327

Fax

(636) 928-5322

NPI assigned

Feb 2, 2007

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)

Not enrolled

Credentials

Master of Science

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.

• Leaps and Bounds, Inc.

  • Occupational Therapist
  • Saint Peters, MO
  • NPI 1205017498
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730227604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 JUNGERMANN RD.",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-928-5327",
            "fax_number": "636-928-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 JUNGERMANN RD.",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-928-5327",
            "fax_number": "636-928-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOSEMAN",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTRL, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2000161764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Conway, NP-C
• Daniel Leroy Coogan, D.C.
• Margaret E Cook, M.ED.
• Cool Nurses of America
• Timothy J P Cooper, MD
• Jeffrey G Copeland, M.D.
• Aaron Coppedge
• Core Chiropractic & Acupuncture Corp
• Core Concepts Chiropractic
• Heather Anne Cosby, MSW, LCSW

• Pediatric Occupational Therapist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Pediatric Occupational Therapist in Missouri

• 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.

Verify at the official NPI Registry.