Active NPI
Lisa Diane Duerler, PT
- Physical Therapist
- Lexington, KY
National Provider Identifier
1043523889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003344
- Practice address
- 324 N Ashland Ave
Lexington, KY 40502-1402 - Phone
- (859) 797-5513
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003344 | KY | Primary |
Addresses
Primary practice location
324 N Ashland Ave
Lexington, KY 40502-1402
Mailing address
4269 Desdemona Way
Lexington, KY 40514-1344
Phone (859) 296-9588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
880 Corporate Dr
Suite 202
Lexington, KY 40503-5449
Phone (859) 797-5513
PO Box
Suite 911063
Lexington, KY 40591-1063
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003344 | KY | MD | Physical Therapist |
Organizations & group practices 1
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": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1043523889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4269 DESDEMONA WAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405141344",
"telephone_number": "859-296-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 N ASHLAND AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405021402",
"telephone_number": "859-797-5513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUERLER",
"first_name": "LISA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "003344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.