Lisa Terry

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

913 First Colonial Rd Ste 204
Virginia Beach, VA 23454-3198

Phone

(757) 550-0725

NPI assigned

Jan 8, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1013557958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 STEWART DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647824",
            "telephone_number": "757-560-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 FIRST COLONIAL RD STE 204",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543198",
            "telephone_number": "757-550-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Egnyte",
            "affiliation": "N",
            "address_1": "913 First Colonial Rd Ste 204",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234543198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel B Tepovich, PHARMD
• Michael John Terminello, IDC
• Terrace at Beth Abraham Village LLC
• Angela Terrell
• Selah Terrell, RT
• Mercy Terry
• Shekia Terry
• Malek Tesfamariam, BCABA
• Mickias Amanuel Tesfamariam
• Roselle Dawn Tesoro

• Developmental Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Developmental Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.