Individual provider Active NPI

Lisa Cristobal Gacula, PT, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1174818918
Registry record updated Jul 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9271 Issued in AZ
Practice address
1475 N Granite Reef Rd
Scottsdale, AZ 85257-3919
Phone
(480) 421-1776
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2011

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 9271 AZ Primary

Addresses

Primary practice location

1475 N Granite Reef Rd
Scottsdale, AZ 85257-3919

Mailing address

8334 E Via de la Escuela
Scottsdale, AZ 85258-3203
Phone (480) 241-4037

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Luna Care Physical Therapy LLCGroup PAC ID 8325469661, 18 clinicians

Practice addresses (Care Compare)

14050 N 83Rd Ave
Suite 290
Peoria, AZ 85381-5650
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9271AZMDPhysical Therapist

Organizations & group practices 1

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309651200000",
    "number": "1174818918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 E VIA DE LA ESCUELA",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583203",
            "telephone_number": "480-241-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 N GRANITE REEF RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573919",
            "telephone_number": "480-421-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACULA",
        "first_name": "LISA",
        "middle_name": "CRISTOBAL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.