Lisa Ketchmark
NPI 1699603183 · Occupational Therapist · Shoreview, MN
Lisa Ketchmark is a Occupational Therapist provider in Shoreview, MN (NPI 1699603183).
Provider details
- NPI number
- 1699603183
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-05-13
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Frequently asked questions
- What is Lisa Ketchmark's NPI number?
- Lisa Ketchmark's National Provider Identifier (NPI) is 1699603183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Ketchmark's specialty?
- Lisa Ketchmark is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lisa Ketchmark located?
- Lisa Ketchmark's practice location on file with NPPES is 4570 Victoria St N, Shoreview, MN 55126-5800.
- What is Lisa Ketchmark's phone number?
- The practice phone number listed in the NPPES registry for Lisa Ketchmark is (651) 621-6000.
- Is Lisa Ketchmark's NPI active?
- Yes — Lisa Ketchmark's NPI (1699603183) is active in the NPPES registry as of the last update on 2026-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.