Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Ann Smith, MSOTR/L

Individual provider Occupational Therapist · NPI 1093049389

Lisa Ann Smith, MSOTR/L is an Occupational Therapist in Private Practice in Syracuse, New York. Qualified in 2009, 17 years ago. Practices with Upstate Cerebral Palsy Inc, a 29-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

813 Fay Rd
Syracuse, NY 13219-3009
Phone: (315) 488-2951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 015845 (NY)

Record details

NPI number1093049389
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorNo
NPI enumeratedSeptember 21, 2009
Last updated in NPPESSeptember 21, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Upstate Cerebral Palsy Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Syracuse