Lisa Woodruff, PHD, MBA, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT009838 Issued in GA

Practice address

196 Ben Burton Cir
Bogart, GA 30622-1790

Phone

(706) 612-4600

NPI assigned

Apr 29, 2026

Last updated

Apr 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 Business Administration, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1740127844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LANIER CT",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053836",
            "telephone_number": "706-612-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BEN BURTON CIR",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306221790",
            "telephone_number": "706-612-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "LISA",
        "credential": "PHD, MBA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duke N Walker, PT
• William David White, PHARM D
• Marie Elizabeth Williams, PH.D.
• Mollie Rose Wilson, OTR/L
• Madison Blake Winstead, M.ED. CCC-SLP
• Don Wright

• Occupational Therapist in Bogart, GA
• Providers in Bogart, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.