Lisa J Drakes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE009100 Issued in PA

Practice address

2 Gracedale Ave
Nazareth, PA 18064-8785

Phone

(610) 746-1900

NPI assigned

Jan 23, 2012

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

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1053682005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 2ND AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185617",
            "telephone_number": "610-360-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRACEDALE AVE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648785",
            "telephone_number": "610-746-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKES",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Dennelly
• Mary Monica Dilger, DMD
• Sarah Katherine Dinan, MS, NCC, LPC
• Dr. Lyz, LLC
• Vicki Drake, CCC-SLP
• Thaddeus Dziedzic, PTA
• Easton Neuropyschological and Behavioral Services LLC
• Heather J Edwards, DPM
• Emily Ehrlich, PSY.D.
• Ross Ellis, MD

• Physical Therapy Assistant in Nazareth, PA
• Providers in Nazareth, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.