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

Individual provider Occupational Therapist · NPI 1295169845

Lisa Marie Pinkston, MSOTR is an Occupational Therapist in Private Practice in Fair Lawn, New Jersey. Qualified in 2012, 14 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
14
Licensed in
NJ, NY
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

28-12 Broadway
Fair Lawn, NJ 07410-3924
Phone: (201) 475-8482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 132 Rockville Ave, Staten Island, NY 10314-3721 — (646) 226-2135

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00604100 (NJ)
Occupational Therapist Taxonomy 225X00000X · Licence 017807-1 (NY)

Record details

NPI number1295169845
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR
Sole proprietorNo
NPI enumeratedAugust 29, 2013
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fair Lawn