Active NPI
Lisa Beth Blitz-Dunn, MS
- Occupational Therapist
- Far Rockaway, NY
National Provider Identifier
1992018568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008118-1
- Practice address
- 613 Beach 9TH St
Far Rockaway, NY 11691-5233 - Phone
- (718) 337-6000
- NPI assigned
- Jul 23, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008118-1 | NY | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 008118-1 | NY |
Addresses
Primary practice location
613 Beach 9TH St
Far Rockaway, NY 11691-5233
Mailing address
508 Jarvis Ave
Far Rockaway, NY 11691-5426
Phone (718) 327-1983
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008118-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1992018568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 JARVIS AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915426",
"telephone_number": "718-327-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 BEACH 9TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915233",
"telephone_number": "718-337-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLITZ-DUNN",
"first_name": "LISA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "008118-1",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "008118-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.