IndividualActive
Adam Lisewski, OT
NPI 1003218462 · Occupational Therapist · Raleigh, NC
Provider details
- NPI number
- 1003218462
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8086 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8000
Approximate (ZIP-level) locationGet directions
Mailing address
2933 Lake James Dr Apt 202
Fuquay Varina, NC 27526-3920
Registry dates
- Enumerated
- 2014-09-17
- Last updated
- 2023-07-30
- Certified
- 2023-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.