Lisa S. Ralston, MS, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3484 Issued in GA

Practice address

3038 St. Charles Ave.
3038 St. Charles Ave.
Gainesville, GA 30504

Phone

(770) 654-0667

Fax

(770) 531-9330

NPI assigned

Jan 17, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ralston Rehabilitation, Inc.

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1770825606
  Authorized official Same address or phone

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881746170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 7475",
            "address_2": "3038 ST. CHARLES AVE.",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30504",
            "telephone_number": "770-654-0667",
            "fax_number": "770-531-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3038 ST. CHARLES AVE.",
            "address_2": "3038 ST. CHARLES AVE.",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30504",
            "telephone_number": "770-654-0667",
            "fax_number": "770-531-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "LISA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "3484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00932764A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Ragland
• Heather Perona Ragland, PA
• Matthew J Ragsdale, AAC
• Vikram Gautam Pankaj Raje, DO
• Ralston Rehabilitation, Inc.
• Vijaya Sivalingam Ramalingam, MD
• Tonya R Ramey, DNP
• Hillary Murphy Ramos, PT, DPT, LAT, ATC
• Justin Ramos
• Indranie Ramsaroop

• Occupational Therapist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.