IndividualActive
Lisa Sides
NPI 1780871566 · Occupational Therapy Assistant · Heathrow, FL
Provider details
- NPI number
- 1780871566
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1644 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1485 International Pkwy
Heathrow, FL 32746-5303
Phone: (800) 798-6035
Street-level locationGet directions
Mailing address
453 Victorian Ln
Granite Falls, NC 28630-8663
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2007-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.