Lisa Nerem, PTA – Physical Therapy Assistant

Key facts

NPI: 1134434103
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: 001449 (IA)
Practice address: 209 W 2ND St
Madrid, IA 50156-1211
Phone: (515) 795-2427
Fax: (515) 795-2782
NPI assigned: Aug 13, 2010
Sex: Female
Sole proprietor: No

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.

21St Century Rehab PC Rehabilitation Clinic/Center · Indianola, IA · NPI 1174783583

NPD (past)
21St Century Rehab PC Rehabilitation Clinic/Center · Madrid, IA · NPI 1407016819

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
001449	IA	MD	Physical Therapy Assistant

Practice roles

Organization	Specialty	Status	New patients
21St Century Rehab PC		Past	Accepting new patients
21St Century Rehab PC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	001449	IA	Yes

Addresses

Primary practice location

209 W 2ND St
Madrid, IA 50156-1211

Mailing address

PO Box 461
Nevada, IA 50201-0461
Phone (515) 382-3366

Other names

Lisa Tourtellott Former name

Other providers in Madrid, IA

All providers in Madrid, IA · Physical Therapy Assistant in Iowa

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.