Active NPI
Lisa Strobel
- Physical Therapist
- Harveys Lake, PA
National Provider Identifier
1083805329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008452L
- Practice address
- RR 3 Box 178B
Harveys Lake, PA 18618-9404 - Phone
- (570) 674-7963
- Fax
- (570) 674-7934
- NPI assigned
- Aug 1, 2007
- Last updated
- Aug 1, 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 | PT008452L | PA | Primary |
Addresses
Primary practice location
RR 3 Box 178B
Harveys Lake, PA 18618-9404
Mailing address
15 Abbey LN
Wyoming, PA 18644-9100
Phone (570) 674-7963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019433450001 | Other | PA | MEDICAL ASSISTANCE |
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 |
|---|---|---|---|
| PT008452L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Intervention Professionals | Physical Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1790842045
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1083805329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ABBEY LN",
"city": "WYOMING",
"state": "PA",
"postal_code": "186449100",
"telephone_number": "570-674-7963",
"fax_number": "570-674-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 3 BOX 178B",
"city": "HARVEYS LAKE",
"state": "PA",
"postal_code": "186189404",
"telephone_number": "570-674-7963",
"fax_number": "570-674-7934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROBEL",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT008452L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "1019433450001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harveys Lake, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.