Lisa G Schutt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023366 Issued in PA

Practice address

100 S First Street
Ste B
Millersburg, PA 17061-1501

Phone

(717) 692-4708

Fax

(717) 692-5464

NPI assigned

Jun 14, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lisa Gawthrop Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sports and Orthopedic Therapy Services LLC

  dba Sports LLC

  • Physical Therapist
  • Kensington, MD
  • NPI 1245304518

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1003137019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S FIRST STREET",
            "address_2": "STE B",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611501",
            "telephone_number": "717-692-4708",
            "fax_number": "717-692-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10605 Concord St",
            "address_2": "SUITE 105",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208952504",
            "country_code": "US",
            "telephone_number": "301-946-7717",
            "fax_number": "301-946-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUTT",
        "first_name": "LISA",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "773068",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032535670028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GAWTHROP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Riddle, LSW
• Shannon Roth, PHARM D
• Melise Mullins Rowan, D.P.T.
• Jennifer C Rudolph, DPT
• David Richard Russell, DMD
• Ann Seaton, ATC, LAT
• Bradley Christopher Shaffer, DPT
• Steven Shehan, O.D.
• Jeffrey Donald Shields, ATC,MED
• Kyle Shireman, LAT,ATC,CEAS

• Physical Therapist in Millersburg, PA
• Providers in Millersburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.