Lisa Ellen Koss, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5402 Issued in AZ

Practice address

8240 W. Cactus Road
Peoria, AZ 85381

Phone

(623) 878-9696

Fax

(623) 776-0668

NPI assigned

Oct 11, 2006

Last updated

Nov 9, 2017By the provider in NPPES

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

Other names 1

• Ms. Lisa Ellen Waschler Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capptcg, LLCGroup PAC ID 2668770157, 30 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.

• Capptcg, LLC

  dba AT Home Therapy

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1922498500
  Medicare reassignment Care Compare group NPD
• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD
• Oakeson Physical Therapy

  • Physical Therapist
  • Glendale, AZ
  • NPI 1700812369
  Medicare reassignment NPD
• Arizona Orthosports Physical Therapy, Inc

  • Physical Therapist
  • Surprise, AZ
  • NPI 1467511246
  NPD (past)
• Orthosports Physical Therapy

  • Physical Therapy Clinic/Center
  • Glendale, AZ
  • NPI 1265808240
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1093803074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 W CACTUS RD",
            "address_2": "STE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815231",
            "telephone_number": "623-878-9696",
            "fax_number": "623-776-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 W. CACTUS ROAD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-878-9696",
            "fax_number": "623-776-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1076 W Chandler Blvd",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "85224",
            "country_code": "US",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSS",
        "first_name": "LISA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WASCHLER",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kylie Marie Koos, RN, BSN
• Richard M Kootman, M.D., P.C.
• Amy Koppien
• Michael S. Korn, DDS
• James S Kort, MD
• Maria Kovac
• Edward H Kowaleski, MD
• Adam Todd Kramer, MD
• Victoria Krause
• Krave Therapeutic Massage, LLC

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.