Lisa Severs, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

117705 Issued in TX

Practice address

2665 Royal Forest Dr. Suite B-90
Kingwood TX, TX 77339

Phone

(281) 358-0577

Fax

(281) 358-1520

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Kingwood Speech Pathology Services, PLLC

  • Speech-Language Pathologist
  • Kingwood, TX
  • NPI 1134212293

  Pediatrics

  NPD (past)
• Bauer Rehabilitation Services LLC

  • Physical Therapist
  • Midland, MI
  • NPI 1740298702

  Occupational Therapist

  NPD (past)
• Bauer Rehabilitation Services, LLC

  • Physical Therapy Clinic/Center
  • Midland, MI
  • NPI 1962459354
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740403799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 DARLING ST. UNIT C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77007",
            "telephone_number": "989-205-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 ROYAL FOREST DR. SUITE B-90",
            "city": "KINGWOOD TX",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-358-0577",
            "fax_number": "281-358-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2203 Candlestick Ln",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486423165",
            "country_code": "US",
            "telephone_number": "989-832-6999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2203 Candlestick Ln",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486423165",
            "country_code": "US",
            "telephone_number": "989-832-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERS",
        "first_name": "LISA",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004942",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 10487",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889306300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.