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Active NPI 1699600452 Individual Practitioner Male Practitioner

Mark Lisak

Occupational Therapy Assistant • Flagstaff, AZ

Professional Overview & Biography Verified Profile Summary

Mark Lisak is a registered healthcare professional specializing in Occupational Therapy Assistant in Flagstaff, AZ. Practice services are available at 3112 E BUTLER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3112 E Butler Ave

Flagstaff, AZ 860040009

Telephone 8605197902
Fax 5022128502

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Flagstaff, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Flagstaff, AZ (1065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-15
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License AZ 0047313

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 15, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2026

Registered at 3112 E BUTLER AVE, FLAGSTAFF, AZ 860040009 (Tel: 8605197902)

📍
Updated Business Mailing Address June 15, 2026

Registered at 3112 E BUTLER AVE, FLAGSTAFF, AZ 860040009 (Tel: 8605197902)

👤
Provider Name / Credentials Updated June 15, 2026

Recorded as MARK LISAK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2026

Occupational Therapy Assistant (License #0047313 in AZ)

🟢
Initial NPI Registration & Enumeration June 15, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699600452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2026
Last Update: June 15, 2026
Sole Proprietor: No

Mailing Address

3112 E Butler Ave

Flagstaff, AZ 860040009

Phone: 8605197902

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.