Provider Demographics
NPI:1841642915
Name:OCHMAN, LISA KELLY (PT, DPT, CLT)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:KELLY
Last Name:OCHMAN
Suffix:
Gender:F
Credentials:PT, DPT, CLT
Other - Prefix:MRS
Other - First Name:LISA
Other - Middle Name:KELLY
Other - Last Name:FRANCIOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EIT
Mailing Address - Street 1:745 NW MT WASHINGTON DR STE 109
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-1574
Mailing Address - Country:US
Mailing Address - Phone:541-977-1585
Mailing Address - Fax:833-449-3691
Practice Address - Street 1:745 NW MT WASHINGTON DR STE 109
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-1574
Practice Address - Country:US
Practice Address - Phone:541-977-1585
Practice Address - Fax:833-449-3691
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA024717225100000X
NJ40QA01935700225100000X
OR61629225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR188647Medicare PIN