Active NPI
Lisa Val Carroll, DPT
- Physical Therapist
- Sheridan, WY
National Provider Identifier
1124056817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-934
- Practice address
- 1898 Fort Rd
PT 86
Sheridan, WY 82801-8320 - Phone
- (307) 672-1654
- NPI assigned
- Jun 29, 2006
- 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 | PT-934 | WY | Primary |
Addresses
Primary practice location
1898 Fort Rd
PT 86
Sheridan, WY 82801-8320
Mailing address
1839 N Heights PL
Sheridan, WY 82801-2101
Phone (307) 673-1836
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-934 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124056817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 N HEIGHTS PL",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012101",
"telephone_number": "307-673-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1898 FORT RD",
"address_2": "PT 86",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828018320",
"telephone_number": "307-672-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "LISA",
"middle_name": "VAL",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.