MRS. LISA KATHLEEN MORENO (NPI# 1407119993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407119993 |
| Entity Type | Individual |
| Full Name | MRS. LISA KATHLEEN MORENO |
| Credential | OTR/L, CHT, PAMS |
| Practice Address |
187 Tank Farm Rd Suite 220 San Luis Obispo CA 93401-7081 |
| Mailing Address |
187 Tank Farm Rd. Suite 220 San Luis Obispo CA 93401 |
| Practice Telephone | 9055458699 |
| Mailing Telephone | 9055458699 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2565 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194262519 | Lisa Moreno | Nurse Practitioner | 4357 Corporate Center Dr Ste 450, North Las Vegas, NV 89030-0226 | 2017-01-23 |
| 1922444629 | Lisa Moreno | Specialist | 6540 Lusk Blvd., Ste C139, San Diego, CA 92121 | 2013-05-21 |
| 1780864967 | Lisa Moreno | Nurse Practitioner | 203 S San Mateo St, Redlands, CA 92373-5030 | 2007-11-06 |
| 1245794601 | Lisa Karina Moreno | Student in an Organized Health Care Education/Training Program | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-01-29 |
| 1962846105 | Lisa Anne Moreno | Specialist/Technologist | 11650 Perris Blvd, Moreno Valley, CA 92557-6536 | 2013-04-18 |
| 1679748362 | Lisa Mccall Moreno | Speech-Language Pathologist | 320 Custer Road, Richardson, TX 75080-5623 | 2008-04-24 |
| 1275625295 | Lisa Ann Moreno | Physician Assistant | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2006-09-28 |
| 1508977208 | Lisa B. Moreno | Allergy & Immunology | 135 E 83rd St, New York, NY 10028-2408 | 2006-08-31 |
| 1316991433 | Lisa Jennifer Moreno | Nurse Anesthetist, Certified Registered | 601 Main St, Dunedin, FL 34698-5848 | 2006-05-22 |
| 1831166800 | Lisa M. Moreno | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2006-03-08 |
| Street Address |
187 TANK FARM RD SUITE 220 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-7081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639432529 | Laura Cooper | Occupational Therapist | 187 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7081 | 2012-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1003429416 | San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Occupational Therapist | 862 Meinecke Ave Ste 101, San Luis Obispo, CA 93405-3702 | 2020-08-25 |
| 1497244685 | Cathryn M Gibson | Occupational Therapist | 1241 Johnson Ave # 318, San Luis Obispo, CA 93401-3306 | 2018-05-03 |
| 1225586522 | Shakira Trizette Tietje | Occupational Therapist | 545 Princeton Pl, San Luis Obispo, CA 93405-1118 | 2016-09-14 |
| 1639432529 | Laura Cooper | Occupational Therapist | 187 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7081 | 2012-06-17 |
| 1659573855 | David Allen Jeffrey | Occupational Therapist | 1128 Iris St, San Luis Obispo, CA 93401-4118 | 2007-06-01 |
| 1407897606 | Leslyn Keith | Occupational Therapist | 1061 Murray Ave, San Luis Obispo, CA 93405-8807 | 2006-06-09 |
| 1922081116 | Madeleine Therese Arel | Occupational Therapist | 1130 Grove St, San Luis Obispo, CA 93401 | 2005-11-22 |
| 1942835418 | Heal The Brain With Jane | Occupational Therapist | 47 Santa Rosa St, San Luis Obispo, CA 93405-1811 | 2020-03-05 |
| 1801288485 | Emilia Nicole Friedberg | Occupational Therapist | 1061 Murray Ave, San Luis Obispo, CA 93405-8807 | 2015-02-19 |
| 1699071761 | Jeff Scott Bruno | Occupational Therapist | 1075 Court St, Suite #202, San Luis Obispo, CA 93401-3234 | 2011-02-07 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.