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

Individual provider Occupational Therapist · NPI 1942441092

Lisa Marie Fuller, OTR/L is an Occupational Therapist in Private Practice in Phoenix, Arizona. Qualified in 2003, 23 years ago. Practices with Mariposa Speech Services LLC, a 14-clinician group and accepts Medicare assignment.

Years since qualifying
23
In the registry since
2009
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

9854 S 43rd Pl
Phoenix, AZ 85044-7528
Phone: (480) 785-8827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1942441092
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMarch 19, 2009
Last updated in NPPESMarch 20, 2009

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mariposa Speech Services Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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