Individual provider Active NPI

Lisbeth Wiseman

  • Occupational Therapy Assistant
  • Oklahoma City, OK
National Provider Identifier
1790076644
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1171 Issued in OK
Practice address
2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420
Phone
(405) 550-4910
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1171 OK Primary

Addresses

Primary practice location

2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420

Mailing address

2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420
Phone (405) 550-4910

Other practice location 1

6715 NW 29th St
Bethany, OK 73008-4729
Phone (405) 550-4910

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwiseman@therapitas.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1171OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Pediatric Therapies, Inc. CurrentSince Aug 13, 2023 Accepting new patients
Bilingual Pediatric Therapies PastSince Aug 1, 2023 Accepting new patients
Shepherd Mall Therapy LLC PastSince Jul 24, 2022 Accepting new patients

Locations

2401 NW 23rd St
Ste 2D
Oklahoma City, OK 73107
Phone (323) 940-5355

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1790076644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST STE 2D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072420",
            "telephone_number": "405-550-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST STE 2D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072420",
            "telephone_number": "405-550-4910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6715 NW 29th St",
            "address_purpose": "LOCATION",
            "city": "Bethany",
            "state": "OK",
            "postal_code": "730084729",
            "country_code": "US",
            "telephone_number": "405-550-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "LISBETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwiseman@therapitas.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 NW 23rd St Ste 2D",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731072420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.