MS. LISA M MAZZOLA OTRL
NPI 1760514954
Occupational Therapist in Fresno, CA

Active since March 12, 2007
7300 N FRESNO ST, FRESNO, CA 93720(559) 448-5280 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 19, 2022, Jul 25, 2022 (2 updates tracked since 2022).

About Ms. Lisa M Mazzola Otrl NPPES

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

MS. LISA M MAZZOLA OTRL (NPI 1760514954) is an individual occupational therapist in Fresno, California, licensed in Maine (OT1257) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1760514954
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMS. LISA M MAZZOLACredential: OTRL
Location Address7300 N FRESNO STFresno, CA 93720-2942
Mailing Address10639 N Dearing AveFresno, CA 93730-3410 · (559) 862-3682
Sole ProprietorNo
Enumeration DateMarch 12, 2007
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1760514954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in ME · OT1257
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.
7300 N FRESNO ST, Fresno, CA 93720

Other Identifiers 2

Medicaid199160099ME
Other099422ME · Anthem

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa M Mazzola Otrl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Lisa Mazzola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
7300 N FRESNO ST
FRESNO, CA 93720
Pharmacist
7300 N FRESNO ST
FRESNO, CA 93720
Neurological Surgery
7300 N FRESNO ST
FRESNO, CA 93720
Pediatrics
7300 N FRESNO ST
FRESNO, CA 93720
Emergency Medicine
7300 N FRESNO ST
FRESNO, CA 93720
Pharmacist
7300 N FRESNO ST
FRESNO, CA 93720
Allergy & Immunology
7300 N FRESNO ST
FRESNO, CA 93720
Internal Medicine
7300 N FRESNO ST
FRESNO, CA 93720

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 Lisa Mazzola's NPI number?

The NPI number for Lisa Mazzola is 1760514954. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Lisa Mazzola located?

Lisa Mazzola practices at 7300 N Fresno St, Fresno, CA 93720. The listed phone number is (559) 448-5280.

What is Lisa Mazzola's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Lisa Mazzola enrolled in Medicare?

Yes. Lisa Mazzola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Mazzola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mazzola reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Mazzola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Mazzola was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.