Active NPI
Lisa Marie Hadsall, COTA/L
- Occupational Therapy Assistant
- Shawnee, OK
National Provider Identifier
1982294468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1582
- Practice address
- 3903 N Harrison St
Shawnee, OK 74804-1426 - Phone
- (405) 585-2971
- Fax
- (405) 585-2983
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1582 | OK | Primary |
Addresses
Primary practice location
3903 N Harrison St
Shawnee, OK 74804-1426
Mailing address
3903 N Harrison St
Shawnee, OK 74804-1426
Phone (405) 585-2971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1582 | Other | OK | OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1582 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Therapy, PLLC | Past | Accepting new patients | |
| Foundations Therapy, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Foundations Therapy Prague
- Pediatric Occupational Therapist
- Prague, OK
- NPI 1083397848
-
- Pediatric Occupational Therapist
- Shawnee, OK
- NPI 1336796242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1982294468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 N HARRISON ST",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041426",
"telephone_number": "405-585-2971",
"fax_number": "405-585-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 N HARRISON ST",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041426",
"telephone_number": "405-585-2971",
"fax_number": "405-585-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADSALL",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "1582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION",
"identifier": "1582",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.