MRS. LISA IRENE PETERSEN


Address: 125 Middletown Rd, Waterford, NY 12188-1516
Phone: 5182370800

MRS. LISA IRENE PETERSEN (NPI# 1831734961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831734961
Entity Type Individual
Full Name MRS. LISA IRENE PETERSEN
Credential OTR/L
Practice Address 125 Middletown Rd
Waterford
NY 12188-1516
Practice Telephone 5182370800
Practice Fax Number 5186872643
Mailing Telephone 5182370800
Mailing Fax Number 5186872643
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
02203-1 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers LISA PETERSEN

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1184620957 Lisa Jo Petersen Family Medicine 933 Red Apple Rd Ste D, Central Washington Hospital Women's Healthcare Center, Wenatchee, WA 98801-3370 2005-06-24
1942704127 Lisa Petersen Counselor 1138 Pine St, Burlington, VT 05401-5353 2018-03-21
1063707305 Lisa M Petersen Counselor 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 2011-06-15
1982917209 Lisa R Petersen Optometrist 280 Exempla Cir, Lafayette, CO 80026-3370 2010-07-15
1699813923 Lisa Petersen Psychologist 601 University Ave, Suite #225, Sacramento, CA 95825-6775 2007-02-01

Office Location

Street Address 125 MIDDLETOWN RD
City WATERFORD
State NY
Zip Code 12188-1516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720143506 Waterford-halfmoon Ufsd Local Education Agency (LEA) 125 Middletown Rd, Waterford, NY 12188-1516 2006-12-22
1801265707 Josey Alaine Evanovich Social Worker 125 Middletown Rd, Waterford, NY 12188-1516 2015-09-21
1538557087 Brandy Gagliardi Registered Nurse 125 Middletown Rd, Waterford, NY 12188-1516 2015-01-07
1699042408 Barbara Smith Social Worker 125 Middletown Rd, Waterford, NY 12188-1516 2011-11-22
1407132038 Barbara Jude Delaney Registered Nurse 125 Middletown Rd, Waterford, NY 12188-1516 2011-10-27
1124302369 Mary Elizabeth Zink Registered Nurse 125 Middletown Rd, Waterford, NY 12188-1516 2011-10-06
1306120555 Lois Jean Potrzuski Speech-Language Pathologist 125 Middletown Rd, Waterford, NY 12188-1516 2011-10-06
1538443882 Barbara Anne O'neill Occupational Therapist 125 Middletown Rd, Waterford, NY 12188-1516 2011-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851700322 Kelly Bly Student in an Organized Health Care Education/Training Program 41 Lower Newtown Rd, Waterford, NY 12188 2014-08-08
1841363009 Amita N Nair Internal Medicine 158 Saratoga Ave., Waterford Health Center, Waterford, NY 12188 2006-11-16
1588738330 Daniel Cheng Pediatrics 110 3rd St, Waterford, NY 12188 2006-11-20
1306935895 Mohammed Ismail Md PC Internal Medicine 46 3rd St, Waterford, NY 12188 2006-10-12
1740260298 Elise C. Richtol Podiatrist 3 Partridge Ln, Waterford, NY 12188-1091 2006-01-20
1033362579 Rebecca Hyde Miles Physical Therapist 13 Copperfield Dr, Waterford, NY 12188-1093 2008-10-28
1457638264 Denise Barbara Kochon Licensed Practical Nurse 123 Guideboard Rd Apt C, Waterford, NY 12188-1107 2011-11-08
1578568556 Edward P Franks Ophthalmology 22a Church Hill Rd, Waterford, NY 12188-1124 2005-06-16
1720400732 Leigh Anne Galioto Speech-Language Pathologist 4 Anchor Dr, Waterford, NY 12188-1149 2014-01-09
1952765471 Alexandra Lynn Williams Speech-Language Pathologist 8 Lighthouse Dr, Waterford, NY 12188-1163 2016-04-11
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and state

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1992303366 Sarit Levy Occupational Therapist 7503 197th St Side Door, Fresh Meadows, NY 11366-1816 2020-10-16
1467069971 Sensory Style Ot PC Occupational Therapist 1063 North Ave, New Rochelle, NY 10804-3620 2020-09-29
1942817333 Sarit R Schreier Occupational Therapist 13749 70th Ave # 1a, Flushing, NY 11367-1925 2020-09-29
1205449758 Katelyn Dobranski Ot Occupational Therapist 7003 69th St, Glendale, NY 11385-6658 2020-08-25
1518570258 Rachel T Kakuriev Occupational Therapist 1057 Bay 32nd St, Far Rockaway, NY 11691-1848 2020-08-24
1548873219 Rebecca Fendrich Occupational Therapist 61 Edison Ct Apt D, Monsey, NY 10952-1932 2020-08-24
1013528439 Gitta Moskowitz Occupational Therapist 13624 71st Rd, Flushing, NY 11367-1943 2020-08-10
1366053886 Golda Krausz Occupational Therapist 1359 E 14th St, Brooklyn, NY 11230-5974 2020-08-10
1609491687 Megan Danielle Iovino Occupational Therapist 681 Foch Blvd, Williston Park, NY 11596-1510 2020-06-15
1689295487 Jacqueline Hakim Occupational Therapist 1927 E 23rd St, Brooklyn, NY 11229-3617 2020-05-03
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Competitor

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City WATERFORD
Zip Code 12188

Improve Information

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Dataset Information

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.

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