Provider Demographics
NPI:1114006996
Name:SCHEET, LISA S (MA, OTR/L)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:S
Last Name:SCHEET
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 ROGERS DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-6117
Mailing Address - Country:US
Mailing Address - Phone:402-331-2593
Mailing Address - Fax:
Practice Address - Street 1:1203 ROGERS DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-6117
Practice Address - Country:US
Practice Address - Phone:402-331-2593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE31225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025291000Medicaid
279670Medicare ID - Type Unspecified
P00854Medicare UPIN