Lisa Lee Grossman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

852 Issued in MT

Practice address

124 Main Ave N
Choteau, MT 59422-9421

Phone

(406) 466-3040

Fax

(406) 466-3050

NPI assigned

Mar 18, 2008

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

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

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.

• Great Falls Clinic LLC

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1801897780

  MT

  Medicare reassignment NPD
• Pivot Physical Therapy

  • Physical Therapist
  • Fairfield, MT
  • NPI 1215387477

  MT, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1043481062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAIN AVE N",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229421",
            "telephone_number": "406-466-3040",
            "fax_number": "406-466-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN AVE N",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229421",
            "telephone_number": "406-466-3040",
            "fax_number": "406-466-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "LISA",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Michelle Gascon, LCPC
• Lou Giles
• Nicole A Grant, LCSW
• Great Falls Clinic
• Annette Griffin
• Heather Hodgskiss
• Rebecca Love, NP
• Sharon Leann Lyons, APRN, FNP-BC
• Jeffrey Macewen, DO
• Brian D. McCollom, O.D.

• All providers in Choteau, MT
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.