Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Douglas, MOT, OTR/L, CLT

Individual provider Occupational Therapist · NPI 1760842215

Lisa Douglas, MOT, OTR/L, CLT is an Occupational Therapist in Private Practice in Orlando, Florida. Qualified in 2010, 16 years ago. Practices with Protailored Physical Therapy LLC, a 23-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, New Mexico and Ohio.

Years since qualifying
16
Licensed in
FL, NM, OH
In the registry since
2016
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

809 Good Homes Rd
Orlando, FL 32818-6628
Phone: (407) 293-3156
Fax: (407) 293-3155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 830 29th St, Orlando, FL 32805-6219 — (407) 843-3230
  • 2535 Fort Amanda Rd, Lima, OH 45804-3728 — (419) 999-2055

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT20253 (FL)
Occupational Therapist Taxonomy 225X00000X · Licence OT.007743 (OH)
Occupational Therapist Taxonomy 225X00000X · Licence 4031 (NM)

Record details

NPI number1760842215
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L , CLT
Sole proprietorNo
NPI enumeratedFebruary 25, 2016
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Protailored Physical Therapy Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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