Active NPI
Lisa Marie Sellers, PT
- Physical Therapist
- Carencro, LA
National Provider Identifier
1114301629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02285
- Practice address
- 726 Veterans Dr
Carencro, LA 70520-3619 - Phone
- (337) 565-4355
- Fax
- (337) 565-4357
- NPI assigned
- Jul 14, 2015
- 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 | 02285 | LA | Primary |
Addresses
Primary practice location
726 Veterans Dr
Carencro, LA 70520-3619
Mailing address
101 Mosswood Cir
Lafayette, LA 70503-5238
Phone (337) 981-9507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02285 | Other | LA | LA PHYSICAL THERAPY BOARD LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1114301629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MOSSWOOD CIR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035238",
"telephone_number": "337-981-9507",
"fax_number": "337-565-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 VETERANS DR",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705203619",
"telephone_number": "337-565-4355",
"fax_number": "337-565-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "02285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA PHYSICAL THERAPY BOARD LICENSE NUMBER",
"identifier": "02285",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carencro, LA
- Sanford Anesthesia Services, LLC
- Kathleen Santillo
- Gennis Savoy
- Kaylan Beryle Schexnyder, FNP
- James G Sellers, P.T.
- Ashlin Senegal, MSW, LCSW
- Sense of Self Counseling Therapy and Consultation Services
- Shane Tewis, DDS of Louisiana, a Professional Dental LLC
- Silver Lining Adult Day Health Care LLC
- Katera Marie Simmons, CNA, PHLEBOTOMY,M.A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.