Alda L Lisk

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8963 Issued in MN

Practice address

5385 Orchid LN N
Plymouth, MN 55446-3789

Phone

(612) 860-1954

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Alda L Lim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: alisk561947@excellian.direct.allina.com

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1053536656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 ORCHID LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463789",
            "telephone_number": "612-860-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 ORCHID LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463789",
            "telephone_number": "612-860-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISK",
        "first_name": "ALDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016375",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8963",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALDA",
            "last_name": "LIM",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rochelle Lavonne Lindow, OT
• Brett Lindsay, CRNA
• David N Lippitt, PH.D., L.M.F.T.
• Leandro Michael Lira, D.D.S.
• Lisa Cross, Ma, LMFT, LLC
• Gregory David Liska, DDS
• Joe Litsey, PHARM.D.
• Andrew Yongkun Liu
• Jessica Liu
• Living Well Chiropractic, P.C.

• Physical Therapist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.