Individual provider Active NPI

Lisa Myla, PT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1154732121
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011409 Issued in GA
Practice address
6160 Peachtree Dunwoody Rd
Suite B-90
Atlanta, GA 30328-4578
Phone
(770) 673-0093
Fax
(770) 673-8368
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011409 GA Primary

Addresses

Primary practice location

6160 Peachtree Dunwoody Rd
Suite B-90
Atlanta, GA 30328-4578

Mailing address

6160 Peachtree Dunwoody Rd
Suite B-90
Atlanta, GA 30328-4578
Phone (770) 673-0093

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

LicenseStateTypeSpecialty
PT011409GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Clinic Sports Physical Therapy and Spine LLC PastSince Aug 25, 2024 Accepting new patients
Foundation Therapy Center - North Atlanta, LLC Physical Therapist PastSince May 1, 2017 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.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1154732121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE B-90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284578",
            "telephone_number": "770-673-0093",
            "fax_number": "770-673-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE B-90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284578",
            "telephone_number": "770-673-0093",
            "fax_number": "770-673-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYLA",
        "first_name": "LISA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.