Active NPI
Lisa Marie McInally, DPT
- Physical Therapist
- Duluth, MN
National Provider Identifier
1114110624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7979
- Practice address
- 1420 London Rd
Suite 102
Duluth, MN 55805-2433 - Phone
- (218) 728-3774
- Fax
- (218) 728-3640
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 7979 | MN | Primary |
Addresses
Primary practice location
1420 London Rd
Suite 102
Duluth, MN 55805-2433
Mailing address
1420 London Rd
Suite 102
Duluth, MN 55805-2433
Phone (218) 728-3774
Other names 1
- Lisa Marie Bush
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 |
|---|---|---|---|
| 7979 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arm & Hand Center, Inc. | Physical Therapist | Past | Accepting new patients |
| Northern Arm & Hand Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Turning Point Therapy
- Hand Physical Therapist
- Duluth, MN
- NPI 1639274137
-
dba Turning Point Therapy
- Prosthetic/Orthotic Supplier
- Duluth, MN
- NPI 1740311067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228694400000",
"number": "1114110624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 LONDON RD",
"address_2": "SUITE 102",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052433",
"telephone_number": "218-728-3774",
"fax_number": "218-728-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 LONDON RD",
"address_2": "SUITE 102",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052433",
"telephone_number": "218-728-3774",
"fax_number": "218-728-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINALLY",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2008-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "BUSH",
"middle_name": "MARIE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.