Active NPI
Lisa J Allen, DPT
- Physical Therapist
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- VA2305204090
- Practice address
- 19441 Golf Vista Plaza
Ste 340
Leesburg, VA 20176 - Phone
- (703) 723-7726
- Fax
- (703) 723-9587
- NPI assigned
- Jun 14, 2006
- 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 | VA2305204090 | VA | Primary |
Addresses
Primary practice location
19441 Golf Vista Plaza
Ste 340
Leesburg, VA 20176
Mailing address
36995 Gaver Mill Rd
Hillsboro, VA 20132-2758
Phone (540) 668-6579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070523000215 | VA | Practitioner - Physical Therapist in Private Practice | 9436117868 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Biomechanic Physical Therapy, PLLC
Practice addresses (Care Compare)
19441 Golf Vista PLZ
Suite 340
Leesburg, VA 20176-8272
Phone (703) 723-7726
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA2305204090 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biomechanic Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
19441 Golf Vista Plz
Ste 340
Leesburg, VA 20176
Phone (703) 723-7726
616 Virginia Beach Blvd
Ste 107
Virginia Beach, VA 23451
Phone (757) 917-7857
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 and National Provider Directory roles.
-
- Physical Therapist
- Hanover, PA
- NPI 1609904069
Physical Therapist, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104869411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36995 GAVER MILL RD",
"city": "HILLSBORO",
"state": "VA",
"postal_code": "201322758",
"telephone_number": "540-668-6579",
"fax_number": "540-668-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19441 GOLF VISTA PLAZA",
"address_2": "STE 340",
"city": "LEESBURG",
"state": "VA",
"postal_code": "20176",
"telephone_number": "703-723-7726",
"fax_number": "703-723-9587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "LISA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "VA2305204090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.