Individual provider Active NPI

Lisa R Rushton, MPT

  • Physical Therapist
  • Oakdale, CA
National Provider Identifier
1033456793
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 39765 Issued in CA
Practice address
146 N Maag Ave Ste B
Oakdale, CA 95361-2249
Phone
(209) 322-2140
Fax
(209) 622-4159
NPI assigned
Jan 14, 2013
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 PT 39765 CA Primary

Addresses

Primary practice location

146 N Maag Ave Ste B
Oakdale, CA 95361-2249

Mailing address

1518 Coffee Rd Ste I
Modesto, CA 95355-3164
Phone (209) 576-0888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141106000375 CA Practitioner - Physical Therapist in Private Practice 8325260391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Bear Physical Therapy Sports Injury Center IncGroup PAC ID 2961423082, 85 clinicians

Practice addresses (Care Compare)

4318 Spyres Way
Modesto, CA 95356-9259
Phone (209) 576-0710

Merit-based Incentive Payment System (MIPS)

Final score
67.73 of 100Reported as group
Quality
41.21
Improvement activities
40
Cost
83.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 39765CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Feb 9, 2015 Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients
Golden Bear Physical Therapy PastSince Feb 9, 2015 Accepting new patients
Physiomotion Physical Therapy, Inc. Physical Therapist PastSince Aug 8, 2016 Accepting new patients

Locations

4080 N Cedar Ave
Fresno, CA 93726
Phone (559) 222-7497

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

1518 Coffee Rd
Ste I
Modesto, CA 95355

4318 Spyres Way
Modesto, CA 95356
Phone (209) 284-4910

146 N Maag Ave
#B
Oakdale, CA 95361
Phone (209) 260-6094

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

2303 Geer Rd
Turlock, CA 95382
Phone (209) 585-4100

1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1033456793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 COFFEE RD STE I",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553164",
            "telephone_number": "209-576-0888",
            "fax_number": "209-576-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N MAAG AVE STE B",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953612249",
            "telephone_number": "209-322-2140",
            "fax_number": "209-622-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHTON",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 39765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.