Lisa Radley, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

620037181 Issued in NY

Practice address

102 Irving St NW
Washington, DC 20010-2921

Phone

(202) 877-1000

NPI assigned

Nov 18, 2013

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

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arctic Rehabilitation and Physical Therapy Anchorage LLCGroup PAC ID 4981927738, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arctic Rehabilitation and Physical Therapy Anchorage LLC

  • Rehabilitation Chiropractor
  • Anchorage, AK
  • NPI 1013344670
  Medicare reassignment Care Compare group NPD
• Arctic Chiropractic & Physical Medicine Eagle River LLC

  • Chiropractor
  • Eagle River, AK
  • NPI 1891198875
  Medicare reassignment NPD
• Chiro One Wellness Center of Eagle River LLC

  • Chiropractor
  • Eagle River, AK
  • NPI 1396437463
  NPD

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1083044689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102921",
            "telephone_number": "202-877-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLEY",
        "first_name": "LISA",
        "credential": "DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "620037181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Radich, LGSW
• Matthew Charles Radimer, M.D.
• Ximena Radjenovic, PH.D.
• Pejman Radkani, M.D.
• Michael Radkowsky, PSY.D.
• Mary Elizabeth Radley, MD
• Steven J. Radley, M.D.
• Alexandra D Radomsky, LICSW
• Sarah Radonic
• Mary Susan Rae, PA-C

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.