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

Mrs. Lisa Irene Petersen, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1831734961

Mrs. Lisa Irene Petersen, OTR/L is a Pediatric Occupational Therapist in Waterford, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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

125 Middletown Rd
Waterford, NY 12188-1516
Phone: (518) 237-0800
Fax: (518) 687-2643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 02203-1 (NY)

Record details

NPI number1831734961
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 13, 2019
Last updated in NPPESNovember 13, 2019