IndividualActive
Marley Lisboa, OT
NPI 1689100877 · Occupational Therapist · Long Beach, CA
Provider details
- NPI number
- 1689100877
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3605 Long Beach Blvd.
301
Long Beach, CA 90807
Phone: (818) 363-3066
Fax: (888) 833-2881
Street-level locationGet directions
Mailing address
11204 Balboa Blvd.
Granada Hills, CA 91344
Registry dates
- Enumerated
- 2017-05-08
- Last updated
- 2017-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.