Lisa Marie Massie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26723 Issued in MD

Practice address

4801 Dorsey Hall Dr Ste 130
Ellicott City, MD 21042-7763

Phone

(443) 393-3788

Fax

(443) 378-3533

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians

Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Elite Physical Therapy LLCGroup PAC ID 7618984162, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1588962237
  Medicare reassignment Care Compare group NPD
• LHMG Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Annapolis, MD
  • NPI 1396122842

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Maryland Luna Care Physical Therapy LLC

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1083340988

  DC

  Medicare reassignment Care Compare group NPD
• Elite Physical Therapy

  • Physical Therapist
  • Elkridge, MD
  • NPI 1215150933
  NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Annapolis, MD
  • NPI 1134763212
  NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Edgewater, MD
  • NPI 1508373010
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043331747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR STE 130",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427763",
            "telephone_number": "443-393-3788",
            "fax_number": "443-378-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR STE 130",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427763",
            "telephone_number": "443-393-3788",
            "fax_number": "443-378-3533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Fair Ridge Dr.",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22033",
            "country_code": "US",
            "telephone_number": "703-273-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSIE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209236",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1168",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Spine Center Chartered
• Maryland Sportscare & Rehab LLC
• Maryland Sportscare & Rehab, LLC
• Lamberto Masibac
• Alfred J Maskeroni, DDS
• Isabella K Mate
• Davis Mathew, MD
• Mattie'S Bra Shop
• Nicole C Maus-Chaudhury, LCSW-C
• Maxine V. Clark, D.D.S., P.a.

• Physical Therapist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.