Active NPI
Lisa Drott
- Physical Therapy Assistant
- Daly City, CA
National Provider Identifier
1033302716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA LICENSED APPLICA
- Practice address
- 333 Gellert Blvd
Suite 142
Daly City, CA 94015-2621 - Phone
- (650) 758-4700
- Fax
- (650) 758-4711
- NPI assigned
- Aug 24, 2007
- Last updated
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA LICENSED APPLICA | CA | Primary |
Addresses
Primary practice location
333 Gellert Blvd
Suite 142
Daly City, CA 94015-2621
Mailing address
242 Meridian Ave
Suite C
San Jose, CA 95126-2903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA LICENSED APPLICA | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1033302716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 MERIDIAN AVE",
"address_2": "SUITE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 GELLERT BLVD",
"address_2": "SUITE 142",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152621",
"telephone_number": "650-758-4700",
"fax_number": "650-758-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROTT",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA LICENSED APPLICA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.