Individual provider Active NPI

Marja Liisa Lietzan, DPT

  • Physical Therapist
  • Hayward, WI
National Provider Identifier
1033425558
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14346-24 Issued in WI
Practice address
10320 N Greenwood LN
Hayward, WI 54843-7167
Phone
(808) 489-5620
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14346-24 WI Primary

Addresses

Primary practice location

10320 N Greenwood LN
Hayward, WI 54843-7167

Mailing address

10320 N Greenwood LN
Hayward, WI 54843-7167
Phone (808) 489-5620

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
14346-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P.T. Hawaii, Inc Physical Therapist Past Accepting new patients
PT Hawaii, Inc. PastSince Apr 23, 2015 Accepting new patients

Organizations & group practices 2

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1033425558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 N GREENWOOD LN",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437167",
            "telephone_number": "808-489-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 N GREENWOOD LN",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437167",
            "telephone_number": "808-489-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIETZAN",
        "first_name": "MARJA",
        "middle_name": "LIISA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14346-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.