LISA DOUGLAS (NPI# 1760842215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760842215 |
| Entity Type | Individual |
| Full Name | LISA DOUGLAS |
| Credential | MOT, OTR/L, CLT |
| Practice Address |
2535 Fort Amanda Rd Lima OH 45804-3728 |
| Mailing Address |
21596 Road 19 Fort Jennings OH 45844-8951 |
| Practice Telephone | 4199992055 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2018-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4031 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | OT.007743 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280085 | Lisa Douglas | Counselor | 2060 Duck Rd, Summerville, PA 15864-6022 | 2020-06-19 |
| 1972943124 | Lisa Marie Douglas | Marriage & Family Therapist | 2002 Vanderbilt Ln Apt C, Redondo Beach, CA 90278-3062 | 2013-07-02 |
| 1770921447 | Lisa Marie Douglas | Specialist | 1421 N Washington St, Forrest City, AR 72335-2146 | 2013-06-04 |
| 1881686681 | Lisa Douglas | Pharmacist | 977b Taylor St Sw, Conyers, GA 30012-5357 | 2005-08-17 |
| 1376762914 | Lisa Douglas | Counselor | 7464 W Sahara Ave, Las Vegas, NV 89117-2740 | 2007-04-24 |
| 1639281959 | Lisa Renae Douglas | Genetic Counselor, MS | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-08-31 |
| Street Address |
2535 FORT AMANDA RD |
| City | LIMA |
| State | OH |
| Zip Code | 45804-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659385656 | Hcf of Shawnee, Inc. | Skilled Nursing Facility | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2006-07-28 |
| 1245849652 | Alli Sommers | Social Worker | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2020-07-31 |
| 1477043677 | Kylie Schroeder | Occupational Therapist | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2018-05-14 |
| 1437675642 | Staci Sue Hovest | Physical Therapist | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2017-08-18 |
| 1023477783 | Kristin Doll | Physical Therapist | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2016-02-23 |
| 1245699107 | Mallory Siefker | Occupational Therapist | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2016-02-19 |
| 1679931240 | Julie Renner | Physical Therapist | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2016-02-10 |
| 1366734279 | Jamie Declercq | Social Worker | 2535 Fort Amanda Rd, Lima, OH 45804 | 2011-05-11 |
| 1922326388 | Hcf of Shawnee, Inc. | Clinical Medical Laboratory | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2010-05-11 |
| 1144490087 | Meredith Jo Layman | Social Worker | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| 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 |
|---|---|---|---|---|
| 1356893572 | Ashley Evans | Occupational Therapist | 3710 Gloucester Place, Lima, OH 45850 | 2016-11-04 |
| 1770038556 | Trista Johnson | Occupational Therapist | 2361 Lakewood Ave, Lima, OH 45805-3175 | 2016-08-22 |
| 1992162838 | Krystina Leigh Lanuto | Occupational Therapist | 780 Lester Ave, Lima, OH 45801-1825 | 2016-01-22 |
| 1457693830 | Laura Eileen Mitchell | Occupational Therapist | 238 Valley Way, Lima, OH 45804-3538 | 2013-03-22 |
| 1205031952 | Diane Carol Winger | Occupational Therapist | 1100 Shawnee Rd, Lima, OH 45805-3529 | 2007-06-20 |
| 1972101335 | Chelsea Marie Clay | Occupational Therapist | 1100 Shawnee Rd, Lima, OH 45805-3529 | 2020-10-16 |
| 1265048508 | Gwynne Sorenson | Occupational Therapist | 531 S Eastown Rd, Lima, OH 45805-2800 | 2020-09-22 |
| 1922635713 | April H Beining | Occupational Therapist | 1650 Allentown Rd, Lima, OH 45805-1802 | 2020-03-24 |
| 1871085548 | Dana Babani | Occupational Therapist | 531 S Eastown Rd, Lima, OH 45805-2800 | 2018-05-30 |
| 1477043677 | Kylie Schroeder | Occupational Therapist | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2018-05-14 |
| Find all providers in LIMA | ||||
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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.