Lisa M. Deweese, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2776 Issued in ME

Practice address

587 N Deer Isle Rd
Deer Isle, ME 04627-3438

Phone

(207) 951-3925

NPI assigned

Jan 9, 2006

Last updated

Apr 10, 2017By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Preferred Therapy Outpatient Services of Me, LLC

  • Physical Therapist
  • Brunswick, ME
  • NPI 1043973589

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1740268838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MUSHRALL LN",
            "city": "ORLAND",
            "state": "ME",
            "postal_code": "044724107",
            "telephone_number": "207-951-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 N DEER ISLE RD",
            "city": "DEER ISLE",
            "state": "ME",
            "postal_code": "046273438",
            "telephone_number": "207-951-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEESE",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "878",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "2776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME BOARD OF OT",
            "identifier": "2776",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF OT",
            "identifier": "878",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7501065000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryanne Erica Bisbee, OT
• Theresa Ann Bubar, COTA/L
• Amber Clukey
• Coastline Physical Therapy & Performance Inc
• Holly Dill, MA OTR/L
• Elizabeth Anne Duncombe, LCSW
• Ruth Helen Eaton
• Kamryn Foss
• Colleen Comer Hansen, BSN RN

• Occupational Therapist in Deer Isle, ME
• Providers in Deer Isle, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.