Liza Bourdon, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

022062 Issued in NY

Practice address

89 Madison St
Cortland, NY 13045-1712

Phone

(607) 758-4160

NPI assigned

Jan 24, 2018

Sex

Female

Sole proprietor

Yes

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

Master of Science

State licenses

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801394812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 TOWNLINE RD",
            "city": "NEWFIELD",
            "state": "NY",
            "postal_code": "148679249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MADISON ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451712",
            "telephone_number": "607-758-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Wheeler Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451122",
            "country_code": "US",
            "telephone_number": "607-758-4180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 N Main St",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130452177",
            "country_code": "US",
            "telephone_number": "607-756-5614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130453264",
            "country_code": "US",
            "telephone_number": "607-758-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURDON",
        "first_name": "LIZA",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Dawn Bokal, LMSW
• Elizabeth Boline
• Kirsten Bonnell, MS MHC
• Mary A Borra, CNM
• Thomas James Bottle, LCSW
• Jaclyn Braman, CASAC
• Melissa Bramley, LCSW-R
• Robin Ann Brennan, RN
• Diane Marie Briggs, MS, CCC-SLP
• Elizabeth Brigman Belle Brigman, CASAC-T

• Occupational Therapist in Cortland, NY
• Providers in Cortland, NY by specialty
• Occupational Therapist in New York

• 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.