Active NPI
Lisa Diane Reid, PT
- Physical Therapist
- Kissimmee, FL
National Provider Identifier
1063618692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26791
- Practice address
- 395 Village Dr
Kissimmee, FL 34759-4012 - Phone
- (407) 914-9168
- Fax
- (407) 337-8005
- NPI assigned
- Jun 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PT26791 | FL | Primary |
Addresses
Primary practice location
395 Village Dr
Kissimmee, FL 34759-4012
Mailing address
3903 Roseboro St
Orlando, FL 32805-5143
Phone (540) 220-9262
Other names 1
- Lisa Harris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 94.96
- Improvement activities
- 40
- Cost
- 47.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26791 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1063618692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 ROSEBORO ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328055143",
"telephone_number": "540-220-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 VILLAGE DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347594012",
"telephone_number": "407-914-9168",
"fax_number": "407-337-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "LISA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT26791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "HARRIS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.