Active NPIIndividual provider

Ms. Lisa Van Gorder, OTR/L, CEIS

Occupational Therapist, Pediatrics in Hudson, Massachusetts

NPI Number1649455130
Practice location
2 Coolidge St, Hudson, MA 01749-1459
Fax
978-568-8877
Last updated
October 8, 2019

Lisa Van Gorder is an Occupational Therapist, Pediatrics based in Hudson, MA. Lisa Van Gorder practices in Hudson, MA and has the professional credentials of OTR/L, CEIS. The NPI Number for Lisa Van Gorder is 1649455130 and holds a License No. 8197 (MA). The current practice location address for Lisa Van Gorder is 2 Coolidge St, Hudson, MA 01749-1459 and can be reached out via phone at 978-568-8800 and via fax at 978-568-8877.

Provider Profile Details

NPI Number
1649455130
Provider Name
Lisa Van Gorder
Credential
OTR/L, CEIS
Provider Entity Type
Individual
Gender
Female
Address
2 Coolidge St, Hudson, MA 01749-1459
Phone Number
978-568-8800
Fax Number
978-568-8877
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2008
Last Update Date
October 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Coolidge St
Hudson, MA 01749-1459
City
Hudson
Zip
01749-1459
Phone Number
978-568-8800
Fax Number
978-568-8877
Hudson, MA 01749Get directions →

Provider Business Mailing Address Details

Address
255 Highland Ave
Needham, MA 02494-3023
City
Needham
State
MA
Zip
02494-3023

License Information

License Number
8197
License State
MA
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · 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 Ms. Lisa Van Gorder, OTR/L, CEIS?

The NPI number of Ms. Lisa Van Gorder, OTR/L, CEIS is 1649455130. It was assigned on January 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Lisa Van Gorder, OTR/L, CEIS?

Ms. Lisa Van Gorder, OTR/L, CEIS is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in MA under license number 8197.

Where does Ms. Lisa Van Gorder, OTR/L, CEIS practice?

The practice location is 2 Coolidge St, Hudson, MA 01749-1459. The office can be reached at 978-568-8800 (phone) or 978-568-8877 (fax).

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 1649455130 directly on the NPPES registry website.

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