Misti Renee Lewis, B.S., OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3769 Issued in CA

Practice address

10221 Slater Ave
Fountain Valley, CA 92708-4748

Phone

(949) 599-0218

NPI assigned

Nov 29, 2006

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

Bachelor of Science

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770650376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 W HEFFRON DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 SLATER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084748",
            "telephone_number": "949-599-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MISTI",
        "middle_name": "RENEE",
        "credential": "B.S., OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT3769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Cary Leport, M.D.
• Steven Lerner, PA
• Barbara M. Lever, MD
• Carol Levi, M.D.
• David Reece Levin, DPM
• Li Q. Nguyen, MD
• Jasmine Iris Li, PA-C
• Xiaodong Li, M.D.
• Yukyin Li, ACUPUNCTRIST
• Christopher David Liao, MD

• Occupational Therapist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Occupational Therapist in California

• 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.