Lisa Marie Webster, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008887-1 Issued in NY

Practice address

7571 State Route 54
Ira Davenport Mem.Hospital, Rehab Services Department
Bath, NY 14810-9504

Phone

(607) 776-8880

Fax

(607) 776-8635

NPI assigned

Mar 29, 2010

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

Other names 1

• Miss Lisa Marie Bogardus Former name

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1043535537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7571 STATE ROUTE 54",
            "address_2": "IRA DAVENPORT MEM.HOSPITAL, REHAB SERVICES DEPARTMENT",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148109504",
            "telephone_number": "607-776-8880",
            "fax_number": "607-776-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7571 STATE ROUTE 54",
            "address_2": "IRA DAVENPORT MEM.HOSPITAL, REHAB SERVICES DEPARTMENT",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148109504",
            "telephone_number": "607-776-8880",
            "fax_number": "607-776-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008887-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BOGARDUS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meghan M Walters, FNP
• Kelley Walz, OTR
• Roger Waters, MD
• Tara M Watson
• Brandy Dawn Weber-Minor, RD,CD-N
• Penny Wedd, CASAC
• Donald R Weidner, M.D.
• Joseph M Werner, PHARMD
• Steven Wertheim
• Elizabeth Wetherby

• Physical Therapist in Bath, NY
• Providers in Bath, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.