MRS. LISA PERRI DOSPASSOS (OTR) – Occupational Therapist, NPI 1104948488

MRS. LISA PERRI DOSPASSOS (OTR) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. OC008740 (PA). The NPI Number for MRS. LISA PERRI DOSPASSOS (OTR) is 1104948488

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA PERRI DOSPASSOS (OTR)
NPI
1104948488
Phone
(215) 879-1000
Address
3975 CONSHOHOCKEN AVE
Enumeration Date
6 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107928800
Graduation Year
2002 (24 years ago)
PAC ID
7315379872
Group Practice PAC ID
0143133009
Professional Enrollment ID
I20191121001805
Address ID
PA194681511LI470XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

855 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for MRS. LISA PERRI DOSPASSOS (OTR)

  • 3975 CONSHOHOCKEN AVE

    PHILADELPHIA, PA 191315426

    Phone: (215) 879-1000

    Fax: (215) 879-3912

    Type: Location

  • 504 ASH RD

    COATESVILLE, PA 193201108

    Phone: (610) 476-7459

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191121001805IOccupational Therapist In Private PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19131)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143133009View full group profile

Reviews

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Frequently asked questions

What is MRS. LISA PERRI DOSPASSOS (OTR)'s NPI number?
MRS. LISA PERRI DOSPASSOS (OTR)'s NPI is 1104948488 — the number used across U.S. healthcare to identify this provider.
Is MRS. LISA PERRI DOSPASSOS (OTR) still an active registrant?
MRS. LISA PERRI DOSPASSOS (OTR) carries an active NPI according to the public dataset.
How would a patient describe MRS. LISA PERRI DOSPASSOS (OTR)'s focus?
For MRS. LISA PERRI DOSPASSOS (OTR), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is MRS. LISA PERRI DOSPASSOS (OTR) located near Philadelphia?
MRS. LISA PERRI DOSPASSOS (OTR) currently maps to Philadelphia, Pennsylvania in this extract.
Can I trust this NPI listing for MRS. LISA PERRI DOSPASSOS (OTR)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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