Lisa Marie Dirksen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002041 Issued in IA

Practice address

206 Port Neal Rd
Sergeant Bluff, IA 51054-8098

Phone

(712) 943-3837

NPI assigned

Nov 28, 2012

Last updated

Nov 28, 2012By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1922343227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WILD PLUM WAY",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510543503",
            "telephone_number": "712-880-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PORT NEAL RD",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510548098",
            "telephone_number": "712-943-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKSEN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "002041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Andrew Campbell
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• City of Sergeant Bluff
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• Stephanie Conway, OTR/L
• Laura Elizabeth Giese, DDS
• Susan Jane Handke, ARNP
• Hawkeye Clinic of Sergeant Bluff, PC
• John Addison Hildman
• Renee L. Husen, D.D.S.

• Occupational Therapist in Sergeant Bluff, IA
• Providers in Sergeant Bluff, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.