Lisa M Wood

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

10864 Issued in FL

Practice address

577 Gleason St
Orange City, FL 32763-4707

Phone

(321) 249-9443

NPI assigned

Sep 24, 2009

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

Other names 1

• Ms. Lisa M Wood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1861726705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 GLEASON ST",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327634707",
            "telephone_number": "321-249-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 GLEASON ST",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327634707",
            "telephone_number": "321-249-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "10864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WOOD",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "COTA/L, LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamara Wise
• Douglas A Witter, M.D.
• Eve Wittlin-Young, NP-C
• Christopher Lee Wojcik, D.C
• Kristyn Wong
• Woodenshoe Retreat Inc.
• Najwa NA-Imah Worthen, DC, MPH, RD
• Michal Jhenna Wright
• Priscille Yancich, NP-C
• Pedro N. Yepes-Hoyos, M.D.

• Occupational Therapy Assistant in Orange City, FL
• Providers in Orange City, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.