Active NPI
Lisa Mari Cecil, PHYSICAL THERAPIST
- Specialist
- Fort Worth, TX
National Provider Identifier
1073866703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1207556
- Practice address
- 10840 Texas Health Trail, Ste 110
Ft Worth, TX 76052 - Phone
- (682) 212-5000
- NPI assigned
- Oct 18, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1207556 | TX | Primary |
Addresses
Primary practice location
10840 Texas Health Trail, Ste 110
Ft Worth, TX 76052
Mailing address
10840 Texas Health Trail, Ste 110
Ft Worth, TX 76052
Phone (682) 212-5000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1207556 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1073866703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10840 TEXAS HEALTH TRAIL, STE 110",
"city": "FT WORTH",
"state": "TX",
"postal_code": "76052",
"telephone_number": "682-212-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10840 TEXAS HEALTH TRAIL, STE 110",
"city": "FT WORTH",
"state": "TX",
"postal_code": "76052",
"telephone_number": "682-212-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECIL",
"first_name": "LISA",
"middle_name": "MARI",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "1207556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Cccfw, LLC (Community Care Center of Fort Worth)
- CCK Diagnostics, LLC (ARCpoint Labs of Downtown Fort Worth)
- CD Urgent Care Center 5, PLLC
- Cec Oakmont ER Physicians PLLC
- Joseph Carl Cecere, DMD
- Laurie Dy'Ona Cedeno, D.C.
- Alianna Cedillo
- Fatoumatta Ceesay, RN-BSN
- Michelle Cefaretti, PHARMD
- Angela Marie Ceglar, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.