Lisa Conner Gerritsen, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131000529 Issued in VA

Practice address

5937 Cove Rd
Roanoke, VA 24019-2403

Phone

(540) 562-3900

NPI assigned

Nov 30, 2017

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

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1861906646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 BLUEBIRD LN",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241538060",
            "telephone_number": "540-598-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 COVE RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240192403",
            "telephone_number": "540-562-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRITSEN",
        "first_name": "LISA",
        "middle_name": "CONNER",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Georgeff, LPC
• Kenneth Gergely, CRNA
• Kristen Nicole German
• Allison Gerrard, DO
• Ashley Wohler Gerrish, M.D.
• Dylan Richard Gessner, MPS
• Hildy G. Getz, LPC, LMFT
• Parham Ghafourifar, DO
• Danny Basel Ghannoum, DPM
• Feras J Ghosheh, M.D.

• Occupational Therapy Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.