Active NPIIndividual provider

Lisa Marie Pinkston, MSOTR

Occupational Therapist in Fair Lawn, New Jersey

NPI Number1295169845
Practice location
28-12 Broadway, Fair Lawn, NJ 07410-3924
Fax
—
Last updated
September 22, 2022

Lisa Marie Pinkston is an Occupational Therapist based in Fair Lawn, NJ. Lisa Marie Pinkston practices in Fair Lawn, NJ and has the professional credentials of MSOTR. The NPI Number for Lisa Marie Pinkston is 1295169845 and holds a License No. 017807-1 (NY). The current practice location address for Lisa Marie Pinkston is 28-12 Broadway, Fair Lawn, NJ 07410-3924 and can be reached out via phone at 201-475-8482.

Provider Profile Details

NPI Number
1295169845
Provider Name
Lisa Marie Pinkston
Credential
MSOTR
Provider Entity Type
Individual
Gender
Female
Address
28-12 Broadway, Fair Lawn, NJ 07410-3924
Phone Number
201-475-8482
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Other Names
Lisa Labruzzo, OTR/L (Former Name)
Provider Enumeration Date
August 29, 2013
Last Update Date
September 22, 2022
Certification Date
September 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
28-12 Broadway
Fair Lawn, NJ 07410-3924
Zip
07410-3924
Phone Number
201-475-8482
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
132 Rockville Ave
Staten Island, NY 10314-3721
City
Staten Island
State
NY
Zip
10314-3721
Phone Number
646-226-2135

License Information

License Number (1)
017807-1
License State (1)
NY
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
46TR00604100
License State (2)
NJ
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa Marie Pinkston, MSOTR?

The NPI number of Lisa Marie Pinkston, MSOTR is 1295169845. It was assigned on August 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Lisa Marie Pinkston, MSOTR?

Lisa Marie Pinkston, MSOTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 017807-1.

Where does Lisa Marie Pinkston, MSOTR practice?

The practice location is 28-12 Broadway, Fair Lawn, NJ 07410-3924. The office can be reached at 201-475-8482 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295169845 directly on the NPPES registry website.

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