LISA ROSARIO KOLMANOVSKIY OTR/L
NPI 1790454411
Occupational Therapist in Menlo Park, CA

Active since September 07, 2021
825 OAK GROVE AVE STE A102, MENLO PARK, CA 94025(650) 323-0805 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Rosario Kolmanovskiy Otr/l NPPES

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

LISA ROSARIO KOLMANOVSKIY OTR/L (NPI 1790454411) is an individual occupational therapist in Menlo Park, California, licensed in California (22506) and active in the NPI registry since September 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1790454411
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameLISA ROSARIO KOLMANOVSKIYCredential: OTR/L
Location Address825 OAK GROVE AVE STE A102Menlo Park, CA 94025-4427
Mailing Address188 Hackamore CmnFremont, CA 94539-7477 · (408) 476-3717
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 7, 2021
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 30, 2023
NPI 1790454411 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 CA · 22506
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.
825 OAK GROVE AVE STE A102, Menlo Park, CA 94025

Other Names 1

Former Name (1)Lisa Rivera Rosario Otr/l

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Rosario Kolmanovskiy Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103391792
PECOS Enrollment IDI20260410003586

Other Providers at the Same Location NPPES

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

Occupational Therapist (Pediatrics)
825 OAK GROVE AVE STE A102
MENLO PARK, CA 94025

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 Kolmanovskiy's NPI number?

The NPI number for Lisa Kolmanovskiy is 1790454411. It was assigned to this individual provider in the NPPES registry on September 7, 2021. The provider is also known as Lisa Rivera Rosario Otr/L.

Where is Lisa Kolmanovskiy located?

Lisa Kolmanovskiy practices at 825 Oak Grove Ave Ste A102, Menlo Park, CA 94025. The listed phone number is (650) 323-0805.

What is Lisa Kolmanovskiy's specialty?

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

Is Lisa Kolmanovskiy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Kolmanovskiy was last updated on July 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.