MARK LISAK
NPI 1699600452
Occupational Therapy Assistant in Flagstaff, AZ

Active since June 15, 2026
3112 E BUTLER AVE, FLAGSTAFF, AZ 86004(860) 519-7902(502) 212-8502 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Lisak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK LISAK (NPI 1699600452) is an individual occupational therapy assistant in Flagstaff, Arizona, licensed in Arizona (0047313) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1699600452
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameMARK LISAK
Location Address3112 E BUTLER AVEFlagstaff, AZ 86004-0009
Mailing Address3112 E Butler AveFlagstaff, AZ 86004-0009 · (860) 519-7902 · Fax (502) 212-8502
Fax(502) 212-8502
Sole ProprietorNo
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1699600452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in AZ · 0047313
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3112 E BUTLER AVE, Flagstaff, AZ 86004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Lisak's NPI number?

The NPI number for Mark Lisak is 1699600452. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Mark Lisak located?

Mark Lisak practices at 3112 E Butler Ave, Flagstaff, AZ 86004. The listed phone number is (860) 519-7902.

What is Mark Lisak's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Mark Lisak was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.