Active NPI
Lisa E Lang, DPT
- Physical Therapist
- Wausau, WI
National Provider Identifier
1073762019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11052-024
- Practice address
- 3200 Westhill Dr
Suite 100
Wausau, WI 54401-4705 - Phone
- (715) 847-2827
- Fax
- (715) 847-2048
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 11052-024 | WI | Primary |
Addresses
Primary practice location
3200 Westhill Dr
Suite 100
Wausau, WI 54401-4705
Mailing address
3200 Westhill Dr
Suite 100
Wausau, WI 54401-4705
Phone (715) 847-2827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11052-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Weston, WI
- NPI 1720177371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1073762019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 WESTHILL DR",
"address_2": "SUITE 100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014705",
"telephone_number": "715-847-2827",
"fax_number": "715-847-2048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 WESTHILL DR",
"address_2": "SUITE 100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014705",
"telephone_number": "715-847-2827",
"fax_number": "715-847-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "LISA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11052-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.