Lisa Alice Redding, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1044212 Issued in TX

Practice address

1940 E State Highway 114
Suite 150
Southlake, TX 76092-6526

Phone

(817) 424-3668

Fax

(817) 442-8637

NPI assigned

Jul 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1033525605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E STATE HIGHWAY 114",
            "address_2": "SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926526",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 E STATE HIGHWAY 114",
            "address_2": "SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926526",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDING",
        "first_name": "LISA",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1044212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennie Raymond
• Rebecca B. Lapidus, PHD, PC
• Carlee Rebstock, LPC-A, ASOTP
• Bobbye Ruth Records, CCC/SLP, BCBA
• Anthony S Rector, D.O.
• Steven Hart Redding, DPT
• Vijayabhasker K Reddy, MD
• Alexandra Suzanne Reed, RBT
• Barbara Lynn Reed, PMHNP-BC
• Ryan S Reeves, MD

• Physical Therapist in Southlake, TX
• Providers in Southlake, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.