Active NPI
Lisbeth Wiseman
- Occupational Therapy Assistant
- Oklahoma City, OK
National Provider Identifier
1790076644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1171
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1171 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bilingual Pediatric Therapies, Inc. | Current | Accepting new patients | |
| Bilingual Pediatric Therapies | Past | Accepting new patients | |
| Shepherd Mall Therapy LLC | Past | 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.
-
- Hearing and Speech Clinic/Center
- Oklahoma City, OK
- NPI 1376906800
-
- Speech-Language Pathologist
- Oklahoma City, OK
- NPI 1336444884
-
- Physical Therapy Clinic/Center
- Oklahoma City, OK
- NPI 1285136135
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.