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

Individual provider Occupational Therapy Assistant · NPI 1154896827

Lisa Marie Shimp, COTA/L is an Occupational Therapy Assistant in Grand Rapids, Michigan. Practices as a sole proprietor and works from 4 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

111 Lakeside Dr NE
Grand Rapids, MI 49503-3811
Phone: (616) 588-1645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1551 Franklin St Se, Grand Rapids, MI 49506-8203 — (616) 452-1568
  • 3600 Fulton St E, Grand Rapids, MI 49546-1322 — (616) 949-4971
  • 280 W 40th St, Holland, MI 49423-4664 — (616) 990-0970

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202007926 (MI)

Record details

NPI number1154896827
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedOctober 9, 2018
Last updated in NPPESOctober 9, 2018

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