Lisa Gale Lettiere

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070005895 Issued in IL

Practice address

8707 Skokie Blvd # 402
Skokie, IL 60077-2269

Phone

(773) 616-7638

Fax

(847) 329-8252

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lisa Gale Barich Professional 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1073521852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD # 402",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772269",
            "telephone_number": "773-616-7638",
            "fax_number": "847-329-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD # 402",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772269",
            "telephone_number": "773-616-7638",
            "fax_number": "847-329-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTIERE",
        "first_name": "LISA",
        "middle_name": "GALE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070005895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BARICH",
            "middle_name": "GALE",
            "prefix": "MS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joseph Anthony Lenti, LCSW
• Angelica Leoncio, PT
• Carla Leone, PH.D.
• Julie Anne Leopold
• Tamar Alissa Lerner, DPT
• Melanie Ching Leung
• Natalie Ruth Lev
• Leslie C. Levenhagen, DPT
• Michael Levi, DMD
• Diane Levin, MHP

• Pediatric Physical Therapist in Skokie, IL
• Providers in Skokie, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.