Individual provider Active NPI

Lisa Marie Cuevas, PT

  • Orthopedic Physical Therapist
  • Fresno, CA
National Provider Identifier
1033360219
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT34845 Issued in CA
Practice address
7065 N Maple Ave
Fresno, CA 93720-8013
Phone
(559) 299-9989
Fax
(559) 299-9979
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT34845 CA Primary

Addresses

Primary practice location

7065 N Maple Ave
Fresno, CA 93720-8013

Mailing address

9373 N Boyd Ave
Fresno, CA 93720-1401
Phone (559) 299-9989

Other names 1

  • Lisa Marie Martinez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000601 CA Practitioner - Physical Therapist in Private Practice 6103096185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Rebound Physical Therapy IncGroup PAC ID 8325102353, 4 clinicians

Practice addresses (Care Compare)

7206 N Milburn Ave
Suite 102
Fresno, CA 93722-8450
Phone (559) 271-3100

7355 N Palm Ave
Suite 107
Fresno, CA 93711-5770
Phone (559) 579-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34845CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Inc. CurrentSince Nov 2, 2011 Accepting new patients

Locations

7355 N Palm Ave
Ste 107
Fresno, CA 93711
Phone (559) 579-1555

7206 N Milburn Ave
Ste 102
Fresno, CA 93722
Phone (559) 271-3100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1033360219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 N BOYD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201401",
            "telephone_number": "559-299-9989",
            "fax_number": "559-299-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 N MAPLE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208013",
            "telephone_number": "559-299-9989",
            "fax_number": "559-299-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT34845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MARTINEZ",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.