Active NPI
Lisa Neuman, PT
- Physical Therapist
- Saint Cloud, MN
National Provider Identifier
1174569388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6517
- Practice address
- 251 County Road 120
Suite a
Saint Cloud, MN 56303 - Phone
- (320) 259-5429
- NPI assigned
- Jun 22, 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 | 6517 | MN | Primary |
Addresses
Primary practice location
251 County Road 120
Suite a
Saint Cloud, MN 56303
Mailing address
1301 33Rd St S Ste 210
Saint Cloud, MN 56301-9668
Phone (320) 240-6955
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP30272 | Other | MN | HEALTHPARTNERS |
| 6400654 | Other | MN | MEDICA |
| 323667600 | Medicaid | MN | |
| 52B61KI | Other | MN | BCBS |
| 6400654 | Other | MN | SELECT CARE |
| 264M1NO | Other | MN | BLUE CROSS BLUE SHIELD OF MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lneuman384245@direct.centracare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 33Rd St S
Saint Cloud, MN 56301-9668
Phone (320) 240-6955
1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone (320) 654-3630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6517 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Star Therapy LTD | Physical Therapist | Past | Accepting new patients |
| Northern Star Therapy LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Physical Therapy Clinic/Center
- Saint Cloud, MN
- NPI 1679088157
-
- Physical Therapist
- Sartell, MN
- NPI 1275856304
-
- Physical Therapist
- Sartell, MN
- NPI 1407869662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1174569388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 33RD ST S STE 210",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563019668",
"telephone_number": "320-240-6955",
"fax_number": "320-240-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 COUNTY ROAD 120",
"address_2": "SUITE A",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-259-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMAN",
"first_name": "LISA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP30272",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6400654",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323667600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52B61KI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT CARE",
"identifier": "6400654",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MN",
"identifier": "264M1NO",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lneuman384245@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "lneuman384245@direct.centracare.com",
"address_1": "251 County Road 120",
"address_2": "Suite A",
"city": "Saint Cloud",
"state": "MN",
"country_code": "US",
"postal_code": "56303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.