Lisa M Van Loben Sels, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007689 Issued in WA

Practice address

10510 Northup Way
Suite 140
Kirkland, WA 98033-7901

Phone

(425) 576-8180

Fax

(425) 828-7840

NPI assigned

Jul 26, 2006

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

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bridge Physical Therapy and Wellness

  • Physical Therapist
  • Mercer Island, WA
  • NPI 1366185316
  Medicare reassignment NPD
• Esrc PLLC

  • Physical Therapy Clinic/Center
  • Bellevue, WA
  • NPI 1699796755

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1164445292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 SE 6TH ST",
            "address_2": "STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046419",
            "telephone_number": "425-576-8180",
            "fax_number": "425-746-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 NORTHUP WAY",
            "address_2": "SUITE 140",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337901",
            "telephone_number": "425-576-8180",
            "fax_number": "425-828-7840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13315 68th Pl NE",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980341650",
            "country_code": "US",
            "telephone_number": "877-390-6659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN LOBEN SELS",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Robert Uselman, M.D.
• Joseph-Paul Valdez
• Murtuza M Vali, M.D.
• Scott Van Appledorn, M.D.
• Stephanie Van Doren
• Patricia Anne Van Vactor, ARNP, FNP-C
• Jason W Van Winkle, MD
• Betty Bich Van, OTR/L
• Ashley Vanderstelt
• Miranda Vanfossen

• Physical Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.