Lisa Marie Maurer, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Pine Bush, NY
NPI 1992004709 · NPPES record last updated Mar 18, 2011
Key facts
- NPI
- 1992004709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 004841-1 (NY)
- Practice address
- 230 Ulsterville Rd
Pine Bush, NY 12566-7312 - Phone
- (917) 337-0174
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004841-1 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 004841-1 | NY | Yes |
Addresses
Primary practice location
230 Ulsterville Rd
Pine Bush, NY 12566-7312
Mailing address
230 Ulsterville Rd
Pine Bush, NY 12566-7312
Phone (917) 337-0174
Other providers in Pine Bush, NY
- Lynn Magliacano
- Maple Ave. Dental
- Martins Foods of South Burlington LLC
- Tanya Marvinney
- Rachel Dawn Masella
- Sherry McChesney
- Fritz Gerhard Meier
- Gretchen Meier
- Kelli Ann Meland-Lewis
- Erica Mercurio
All providers in Pine Bush, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.