LISA BURRASTON (OTR/L) – Occupational Therapist, NPI 1497057475

LISA BURRASTON (OTR/L) is a healthcare provider. based in West jordan, Utah. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 4949210-4201 (UT). The NPI Number for LISA BURRASTON (OTR/L) is 1497057475

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LISA BURRASTON (OTR/L)
NPI
1497057475
Phone
Not provided
Address
9373 S SCHMIDT CIR
Enumeration Date
24 November 2010
Last Update Date
7 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8019027940
Graduation Year
2005 (21 years ago)
PAC ID
7113388471
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20230802003227
Address ID
UT841208208WE5373XBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

156 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for LISA BURRASTON (OTR/L)

  • 9373 S SCHMIDT CIR

    WEST JORDAN, UT 840888778

    Phone:

    Type: Mailing

  • 5121 COTTONWOOD ST

    MURRAY, UT 841075701

    Phone: (801) 507-2001

    Type: Location

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: 2023-08-02

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
I20230802003227IOccupational Therapist In Private PracticeUTTBD

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 84088)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for LISA BURRASTON (OTR/L)?
LISA BURRASTON (OTR/L) — NPI 1497057475 — is the standard way to identify this listing.
Can I rely on LISA BURRASTON (OTR/L) being an active provider?
As of the registry snapshot, LISA BURRASTON (OTR/L) is marked active.
What is LISA BURRASTON (OTR/L)'s specialty?
The listing groups LISA BURRASTON (OTR/L) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect LISA BURRASTON (OTR/L) on a map?
Expect West Jordan, Utah as a primary anchor for LISA BURRASTON (OTR/L) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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