Lisa Marie Cordes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A900 Issued in MN

Practice address

27395 County Highway 61
Henning, MN 56551-9238

Phone

(218) 583-4237

NPI assigned

Apr 21, 2016

Last updated

Apr 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1144674516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27395 COUNTY HIGHWAY 61",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "565519238",
            "telephone_number": "218-583-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27395 COUNTY HIGHWAY 61",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "565519238",
            "telephone_number": "218-583-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDES",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jean Anderson, PA-C
• Astera Health (Astera Health Henning Clinic)
• Janelle R Beddow Van Erp
• Michael R Berglund, DDS
• City of Henning (Henning Ambulance Service)
• Susan Kay Devries
• Patrick Dilly
• Kimberly Marie Doll
• Dr Stephen P Tonner LTD (Ottertail Eye Care)
• Dylan G Folkestad, MD

• Physical Therapy Assistant in Henning, MN
• Providers in Henning, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.