Lisa Mamoulelis, MOTR/L is a
Occupational Therapist based in Wheatland, California. Lisa Mamoulelis is licensed to practice in California (license number 8012) and her current practice location is
111 Main St, Wheatland, California. She can be reached at her office (for appointments etc.) via phone at
(530) 633-3130.
NPI number for Lisa Mamoulelis is 1831021559 and her current mailing address is 111 Main St, Wheatland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831021559.
Healthcare Provider's Profile
| Full Name | Lisa Mamoulelis |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 111 Main St, Wheatland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831021559
- Provider Enumeration Date: 05/29/2026
- Last Update Date: 05/29/2026
Medical Identifiers
Medical identifiers for Lisa Mamoulelis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831021559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 8012 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Mamoulelis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lisa Mamoulelis, MOTR/L 111 Main St, Wheatland, CA 95692-9277 Ph: (530) 633-3203 | Lisa Mamoulelis, MOTR/L 111 Main St, Wheatland, CA 95692-9277 Ph: (530) 633-3130 |
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