NPIMap

Organization Active NPI

Lisa Stutzman Physical Therapy PC

  • Physical Therapist
  • Lake Mills, IA
National Provider Identifier
1063519692
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02504 Issued in IA
Legal business name
LISA STUTZMAN PHYSICAL THERAPY PC
Practice address
115 N Mill St
Lake Mills, IA 50450-1303
Phone
(641) 592-3500
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Lisa K Stutzman, MPT
Title
Owner
Phone
(641) 592-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 02504 IA Primary

Addresses

Primary practice location

115 N Mill St
Lake Mills, IA 50450-1303

Mailing address

115 N Mill St
Lake Mills, IA 50450-1303
Phone (641) 592-3500

National Provider Directory

National Provider Directory

Locations

107 N Washington St
Lake Mills, IA 50450
Phone (641) 424-1111

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1063519692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MILL ST",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501303",
            "telephone_number": "641-592-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MILL ST",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501303",
            "telephone_number": "641-592-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA STUTZMAN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "STUTZMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-592-3500",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mills, IA

Sources for this page

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