MS. LISA MITCHELL (NPI# 1104062777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104062777 |
| Entity Type | Individual |
| Full Name | MS. LISA MITCHELL |
| Credential | OTR/L |
| Practice Address |
626 Stinard Ave Syracuse NY 13207-1506 |
| Practice Telephone | 3153738084 |
| Mailing Telephone | 3153738084 |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 007409-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049449 | Lisa Mitchell | Nurse Practitioner | 12800 Bothell Everett Hwy Ste 220, Everett, WA 98208-6642 | 2019-05-28 |
| 1912472341 | Lisa Jean Mitchell | Dietitian, Registered | 13013 County Road 171, Danbury, TX 77534-9749 | 2018-10-12 |
| 1215418595 | Lisa Mitchell | Occupational Therapist | 268 Cardigan Ter, West Chester, PA 19380-1142 | 2018-08-24 |
| 1891241899 | Lisa Ann Mitchell | Speech-Language Pathologist | 5321 E Livingston Ave, Columbus, OH 43232-2864 | 2016-08-30 |
| 1912374828 | Lisa Mitchell | Massage Therapist | 800 W Queen Creek Rd Apt 2044, Chandler, AZ 85248-3313 | 2015-08-26 |
| 1235553538 | Lisa Mitchell | Home Health | 5150 Timuquana Rd. # 14, Jacksonville, FL 32210 | 2014-02-07 |
| 1386077543 | Lisa Ann Mitchell | Health Educator | 834 Shoal Creek Rd, Englewood, TN 37329-9526 | 2013-08-12 |
| 1891033981 | Lisa Jensen Mitchell | Pediatrics | Carl R. Darnall Medical Center, 2608 Marlin Dr, Killeen, TX 76543-2773 | 2013-01-23 |
| 1003133125 | Lisa Adair Mitchell | Counselor | 7180 Sw Fir Loop, Suite 1-a, Portland, OR 97223-8023 | 2010-04-29 |
| 1295904878 | Lisa B. Mitchell | Speech-Language Pathologist | 18 Nason Rd, Hampton Falls, NH 03844-2401 | 2008-02-27 |
| Street Address |
626 STINARD AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13207-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150254 | Tonia Michelle Moore | Licensed Practical Nurse | 621 West Brighton Ave, Syracuse, NY 13207 | 2018-07-06 |
| 1992154710 | Alza Theresa Johnson | Licensed Vocational Nurse | 139 Clyde Ave, Syracuse, NY 13207 | 2016-06-13 |
| 1932528627 | Chakira Harris | Licensed Practical Nurse | 943 West Lafayette Ave, Apt 2, Syracuse, NY 13207 | 2014-04-10 |
| 1598195471 | Brittany St. Dennis | Licensed Practical Nurse | 134 Swrhill Terrace, Syracuse, NY 13207 | 2013-11-14 |
| 1417380445 | Terence White | Registered Nurse | 314 Palmer Ave, Syracuse, NY 13207 | 2013-08-13 |
| 1447587795 | Lauren C Belair | Licensed Practical Nurse | 3665 Gardenia Dr., Baldwinsville, NY 13207 | 2009-11-06 |
| 1497088843 | Eileen R. Mchale | Speech-Language Pathologist | 301 Valley Drive, Parkside Children's Center, Syracuse, NY 13207 | 2009-09-16 |
| 1114160199 | Melissa Ann Clark | Licensed Practical Nurse | 113 Cheney St, Syracuse, NY 13207 | 2009-04-07 |
| 1356565675 | Mary Agnes Wykstra | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2007-04-11 |
| 1326297482 | Kelly Lorraine Evans | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2008-09-14 |
| Find all providers in zip 13207 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413354 | Amanda Grome | Occupational Therapist | 113 Cody Ave, Syracuse, NY 13204-1831 | 2020-09-29 |
| 1770058661 | Nora A Conneely | Occupational Therapist | 750 E Adams St # 2104, Syracuse, NY 13210-2306 | 2018-10-08 |
| 1821505249 | Timothy Robert Sheridan | Occupational Therapist | 4946 Camelot Dr, Syracuse, NY 13215-2408 | 2018-01-08 |
| 1720598436 | Kristina Khurshudian | Occupational Therapist | 2410 W Genesee St Apt B14, Syracuse, NY 13219-1560 | 2017-10-08 |
| 1730621509 | Hannah Elizabeth Northrop | Occupational Therapist | 1005 W Fayette St, 4th Floor, Syracuse, NY 13204-2860 | 2016-11-10 |
| 1174077531 | Savannah Fuller | Occupational Therapist | 545 Cedar St, Syracuse, NY 13210-2370 | 2016-08-15 |
| 1124470679 | David R Connors | Occupational Therapist | 110 Elwood Davis Rd, Syracuse, NY 13212-4331 | 2016-07-08 |
| 1962871509 | Michelle Carpenter | Occupational Therapist | 201 Westfall Dr, Syracuse, NY 13219-1313 | 2015-09-24 |
| 1548639693 | Kenzi Steele | Occupational Therapist | 550 7th Street, Syracuse, NE 68446 | 2015-09-18 |
| 1366837791 | Hannah Worthley | Occupational Therapist | 208 Van Rensselaer St, Apt 3, Syracuse, NY 13204-2216 | 2015-04-02 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.