Lisa Ross, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2770 Issued in MS

Practice address

600 Air Park Rd
Tupelo, MS 38801-7022

Phone

(662) 842-2100

NPI assigned

Oct 8, 2024

Sex

Female

Sole proprietor

No

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 MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Outpatient Physical Therapy PAGroup PAC ID 2860591120, 7 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 and National Provider Directory roles.

• Rebound Outpatient Physical Therapy, PA

  • Physical Therapy Clinic/Center
  • Tupelo, MS
  • NPI 1407915754

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1093534927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 ACADIAN CIR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015001",
            "telephone_number": "662-419-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 AIR PARK RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017022",
            "telephone_number": "662-842-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4381 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016583",
            "country_code": "US",
            "telephone_number": "662-377-4398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LISA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Rolle
• Louis Rosa III, MD
• Donna Raquel Rosamond, LPC
• Anna Rosenbaum, FNP-BC
• Linda L Rosenthal, RPH
• Jennifer Earl Rossi, PMHNP
• Rowan Behavioral Health and Consulting LLC
• Regena B Rowan, CRNA
• Dennis L. Rowland, N.P.
• Jacob Rowland, PA-C

• Physical Therapist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.